Irreducible inflamed inguinal hernia with infected gangrenous omentum after laparoscopic appendectomy: a case report

We reported a rare complication of laparoscopic appendectomy in a 19-year-old patient, who was admitted with acute appendicitis and had no history of inguinal hernia. He underwent laparoscopic appendectomy for suppurative appendicitis. Eight days later, he presented with irreducible incarcerated right inguinal hernia. A non-manifested congenital inguinal hernial sac has been symptomized after laparoscopic gas inflation inside the peritoneal cavity, which resulted in widening of the internal inguinal ring and protrusion of the omentum. Besides that, the omental content became inflamed and gangrenous as a consequence of the suppurative appendicitis and the presence of purulent fluid in the pelvis. Therefore, there were two complications that occurred simultaneously after laparoscopic appendectomy: a manifested right inguinal hernia and incarceration and gangrene of its contents. To our knowledge, this is the first reported case of irreducible inflamed inguinal hernia manifested for the first time after laparoscopic appendectomy.