De Garengeot's hernia
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At the time the case was submitted for publication Piyush P Siwach had no recorded disclosures.View Piyush P Siwach's current disclosures
Painful lump in right groin.
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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.
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.
- Kalles V, Mekras A, Mekras D, Papapanagiotou I, Al-Harethee W, Sotiropoulos G, Liakou P, Kastania A, Piperos T, Mariolis-Sapsakos T. De Garengeot's hernia: a comprehensive review. Hernia : the journal of hernias and abdominal wall surgery. 17 (2): 177-82. doi:10.1007/s10029-012-0993-3 - Pubmed