De Garengeot appendicitis

Case contributed by Henry Knipe


Two day history of painful right groin lump.

Patient Data

Age: 70 years
Gender: Female

Right groin hernia containing a blind ending bowel loop measuring up to 9 mm in dimension with mural hyperemia very suggestive of appendicitis. Small volume of adjacent free fluid.


CT confirms a direct right groin hernia containing the appendix with the herniated appendix dilated with mucosal hyperenhancement and a small volume of surrounding free fluid and fat stranding. The hernia sac remains lateral to the pubic tubercle with slight compression of the femoral vein adjacent to the neck.

Case Discussion

Femoral hernias containing the appendix are rare, and with superimposed appendicitis even rarer. The patient was transferred to another hospital and histological confirmation of appendicitis is not available. 

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