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De Garengeot’s hernia: a rare presentation of the wandering appendix
  1. Saad Ikram,
  2. Ahmed Kaleem,
  3. Deepak Satyapal,
  4. Syed Muzaffar Ahmad
  1. General Surgery, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK
  1. Correspondence to Dr Saad Ikram, drsikram{at}


A hernia is defined as a protrusion of an organ or its fascia through a sac of its containing cavity. The presentation of an inflamed appendix inside an incarcerated femoral hernia is termed de Garengeot’s hernia. Almost exclusively seen in the female patient, this type of hernia like all others can undergo strangulation leading to complications including appendicitis with or without perforation. Management as described in literature usually comprises open or laparoscopic approach, followed by appendectomy and repair of the femoral hernia with or without mesh. We describe a case of a female patient who presented with an irreducible groin swelling, found to have a femoral hernia containing the inflamed appendix intraoperatively and how it was managed surgically through a laparoscopic approach with a small mesh and closure of defect. Literature review on this rare form of hernia is discussed thereafter.

  • general surgery
  • pathology
  • radiology

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  • Contributors SI conducted the literature review and composed the manuscript. He also took written consent from the patient. AK was the first contact with the patient, involved in preoperative workup and prepoperative and postoperative management. He also took verbal consent from the patient. DS was involved in proof reading the manuscript. SMA performed the surgery and involved in post operative management and proofreading the manuscript.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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