Incarcerated right femoral hernia - containing appendix

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Painful right groin lump.

Patient Data

Age: 75 years
Gender: Female
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Info

Fluid filled mass in right groin containing a blind-ending tubular structure without blood flow consistent with the appendix in an incarcerated hernial sac constricting blood vessels.

This study is a stack
Sagittal
non-contrast
This study is a stack
Axial
non-contrast
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Info

Femoral hernial sac containing fluid and a thick-walled, edematous tubular structure contiguous with cecum representing the appendix - findings confirmed at surgery.

Case Discussion

De Garengeot hernia is a femoral hernia that contains the appendix.

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