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CASE REPORT
Unusual presentation of De Garengeot hernia
  1. Chang Woo Lee,
  2. Angelos Mantelakis,
  3. Md Abu K Nahid and
  4. Ashish Shrestha
  1. Department of General Surgery, William Harvey Hospital, Ashford, UK
  1. Correspondence to Dr Chang Woo Lee, changwoo.lee{at}nhs.net

Abstract

De Garengeot hernia describes a rare phenomenon in which a vermiform appendix is found in a femoral hernia sac. We describe a case of De Garengeot hernia presenting as a groin lump associated with loss of appetite, weight loss and fatigue. A 72-year-old woman was referred to our rapid access 2-week clinic as isolated lymphadenopathy with a 4-week history of a gradual right groin swelling accompanied by an unintentional weight loss, lethargy and anorexia. An urgent excisional lymph node biopsy was performed preceding the CT scan of the chest, abdomen and pelvis. The biopsy showed a shaving of appendix wall, and the CT scan revealed a right-sided femoral hernia with appendix as its content. The patient was urgently contacted for a laparoscopic appendicectomy and an open right femoral hernia repair. The patient recovered well postoperatively, and her systemic symptoms fully resolved when reviewed 10 weeks after the operation.

  • general surgery
  • gastrointestinal surgery
  • radiology
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Footnotes

  • Contributors CWL and AM: performed the literature search. CWL: wrote the article. AM, MAKN and AS: involved in the revision of the manuscript. AS: managed the case. All authors contributed significantly to the conception and the design of the report; approved the final manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

  • Patient consent for publication Obtained.

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