STRANGULATED FEMORAL HERNIA CONTAINING APPENDIX.REPORT OF TWO CASES.

Abstract

Strangulated femoral hernia with the appendix alone as the contents is of sufficient rarity to report. In the literature I find reports of about 100 cases in which the appendix was found in femoral herniæ, but in only a few of these was the appendix the sole occupant of the hernial sac, and in only one or two has a primary strangulation of the appendix occurred. In most cases the appendix was found as a passive occupant of the sac, sometimes accompanying the cecum in its descent, and at other times projecting through the ring with a separate loop of bowel or piece of omentum. In order that the appendix may pass through the hernial ring it must be free in the abdominal cavity and possess a meso-appendix sufficiently long and lax to allow its descent. No case has been reported in which the appendix was found in a left