[Acute appendicitis in a femoral hernia].

Introduction: Acute appendicitis in a femoral hernia is an uncommon condition that can be serious. Complications are more frequent if the diagnosis is delayed and surgery is not performed on time.

Case Report: We present a 71-year-old man with a painful swollen mass.

[Combined spinal-epidural anaesthesia for urgent Hartmann's procedure].

A 46- year old patient without previous history of general anaesthesia was admitted for urgent Hartman's procedure. The suspected tumor of sigmoid colon caused the obstructive ileus with extreme abdominal distension and threatened colon perforation. After induction of anaesthesia and adequate muscle relaxation it appeared that endotrh ileus because of possible regurgitation and aspiration.