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Rare presentation of De Garengeot hernia in a 77-year-old woman.


ABSTRACT: A 77-year-old woman presented with a rare surgical phenomenon known as De Garengeot hernia. This unique presentation occurs due to the presence of a vermiform appendix in a femoral hernia sac. The patient presented with right-sided groin pain and a partially reducible hernia; she was otherwise haemodynamically stable and denied fevers, nausea and vomiting. The diagnosis was confirmed with CT which demonstrated a right-sided femoral hernia containing a perforated tip of the appendix. The patient urgently underwent an open appendectomy and open right femoral hernia repair using the modified McEvedy's incision.

SUBMITTER: Raad M 

PROVIDER: S-EPMC7213714 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Rare presentation of De Garengeot hernia in a 77-year-old woman.

Raad Marjan M   Høgsand Tord T   Qureshi Muhammed Saeed MS   Pitt James J  

BMJ case reports 20200427 4


A 77-year-old woman presented with a rare surgical phenomenon known as De Garengeot hernia. This unique presentation occurs due to the presence of a vermiform appendix in a femoral hernia sac. The patient presented with right-sided groin pain and a partially reducible hernia; she was otherwise haemodynamically stable and denied fevers, nausea and vomiting. The diagnosis was confirmed with CT which demonstrated a right-sided femoral hernia containing a perforated tip of the appendix. The patient  ...[more]

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