RT Journal Article
SR Electronic
T1 Rare presentation of De Garengeot hernia in a 77-year-old woman
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e232419
DO 10.1136/bcr-2019-232419
VO 13
IS 4
A1 Marjan Raad
A1 Tord Høgsand
A1 Muhammed Saeed Qureshi
A1 James Pitt
YR 2020
UL http://casereports.bmj.com/content/13/4/e232419.abstract
AB 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.