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De Garengeot’s hernia in an elderly woman as a diagnostic challenge: a review of literature
  1. Zeeshan Saboor Ahmed1,
  2. Sufyan Azam2,
  3. Ayeshea Shenton2 and
  4. Akinfemi Ayobami Akingboye3
  1. 1General Surgery, Russells Hall Hospital, Dudley, UK
  2. 2Department of Radiology, Russells Hall Hospital, Dudley, West Midlands, UK
  3. 3General Surgey, Dudley Group of Hospitals NHS Trust, Dudley, UK
  1. Correspondence to Mr Akinfemi Ayobami Akingboye; a.akingboye{at}


De Garengeot’s hernia is the presence of an appendix in a femoral hernia and can be a rare cause of an acute groin swelling. Here, we present a case report of an elderly woman who was referred to us with a short history of a painful, tender lump in the right groin associated with nausea and vomiting. Her inflammatory markers were raised, and to establish a final diagnosis, an urgent CT scan was requested which showed a blind ending tubular structure in a hernia sac. She was taken to the theatre for urgent exploration of the groin which revealed that it was a femoral hernia, the sac of which contained gangrenous appendix, the base of which could not be accessed through the groin incision and, therefore, a lower midline laparotomy incision was made and a formal appendicectomy was done.

  • gastrointestinal surgery
  • general surgery

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  • Twitter @Zeeshan Saboor Ahmed, @fembimps

  • Contributors ZSA is the operating surgeon; responsible for planning and design; and is the main author of the case report. SA did the literature search for the case report. AS wrote the paragraph on the CT scan. AAA restructured, redseigned, corrected and is the overall supervisor of the project/case report.

  • 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.

  • Patient consent for publication Obtained.

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