# Strangulated inguinal hernia containing ischemic appendices epiploicae

## TL;DR

An elderly man had a painful hernia containing dead fatty tissue, which was surgically removed and repaired successfully.

## Contribution

Reports a rare case of strangulated hernia with ischemic appendices epiploicae and its management.

## Key findings

- Computed tomography identified a fat-containing hernia with inflammation.
- Surgery confirmed infarcted appendices epiploicae inside the hernia sac.
- Nylon darning repair was effective after removing necrotic tissue.

## Abstract

A 79-year-old male presented with a two-day history of painful, irreducible left inguinal swelling. Computed tomography imaging indicated a fat-containing hernia with surrounding inflammatory changes. Surgical exploration revealed infarcted appendices epiploicae within the hernia sac. The necrotic tissue was excised, and a tissue-based repair using nylon darning was performed due to contamination. The patient recovered uneventfully and remained well at follow-up.