Presentation
Painful lump in right groin.
Patient Data
Age: 85 years
Gender: Female
From the case:
De Garengeot's hernia
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Info
Right femoral hernia containing appendix and mesoappendix. Herniated appendix is inflamed, with surrounding fat stranding and free fluid in hernial sac.
Unrelated incidental findings include: distended gallbladder with calculi, left renal ngiomyolipoma and left pelvic varices with dilated left ovarian vein suggesting ovarian vein incompetence.
Case Discussion
This case demonstrates a unique pathology, with a combination of findings required to qualify for the fancy eponym: A femoral hernia containing an inflamed appendix. Surprisingly, this lady presented with relatively mild symptoms despite the impressive radiological appearance. She underwent urgent surgery which was uneventful.
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