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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220926
  • Rare disease
  • CASE REPORT

A case of De Garengeot hernia and literature review

Open Access
  1. Chin Li Tee2
  1. 1General Surgery, Caboolture Hospital, Caboolture, Queensland, Australia
  2. 2General Surgery, Caboolture Hospital, Caboolture, Queensland, Australia
  1. Correspondence to Dr Bardia Bidarmaghz, bardiab1985{at}yahoo.com
  • Accepted 23 August 2017
  • Published 7 September 2017

Summary

Femoral hernia accounts for only 3% of all the hernias and in only 0.5%–5% of the events, the appendix can travel through the femoral hernia which is called De Garengeot hernia, and the incidence of appendicitis in this type of hernia is as low as 0.08%–0.13%. We present a case of a 69-year-old healthy woman who was referred to the emergency department by her general practitioner for CT-proven appendicitis in the femoral canal. On initial assessment, she was found to have a hard, tender lump in her right groin below the inguinal ligament, and open appendectomy and herniorrhaphy were performed. Surgery is the mainstay of treatment of this type of hernia but due to the rarity of this condition, there is no specific guideline as for the surgical procedure. This article demonstrated a case of De Garengeot hernia which was diagnosed preoperatively and managed surgically.

Footnotes

  • Contributors BB involved in collecting patient's images, obtaining the consent and drafting the manuscript. CLT was the operating surgeon and did the final edit and review.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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