De Garengeot hernia

Case contributed by Krister Askaner


Increasing pain in right inguinal region with palpable resistance, 10 x 5 cm.

Patient Data

Age: 65 years
Gender: Female

Hernia in right inguinal tract, lateral of pubic tubercle and medial to common femoral vein, consistent with a femoral hernia.

The hernia contains a swollen appendix. No intestinal strangulation.

Prominent abdominal and inguinal lymph nodes due to treated follicular lymphoma.

Case Discussion

Surgery confirmed right femoral hernia containing necrotic appendix consistent with a rare case of De Garengeot hernia with incarcerated appendicitis.

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