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Case Reports
. 2013 Jun 28:2013:bcr2013010319.
doi: 10.1136/bcr-2013-010319.

A lumpy appendix

Shamik Dholakia  1 , Yasmin Hashimi, Atul Agarwal, Kyi Toe
Affiliations
Case Reports

A lumpy appendix

Shamik Dholakia et al. BMJ Case Rep. .

Abstract

A De Garengeot hernia is a rare and interesting presentation of a groin lump, with the diagnosis usually only being identified during surgery. It still presents clinicians with diagnostic and therapeutic challenges, owing to the lack of signs associated with sepsis and so an important case to highlight. We present a case report of a 90-year-old woman who developed a De Garengeot hernia as part of her presentation of bowel obstruction illustrating the importance of careful examination and to ensure prompt diagnosis and initiation of appropriate multidisciplinary management.

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Figures

Figure 1
Figure 1
Abdominal radiograph showing dilated loop of small bowel consistent with obstruction.
Figure 2
Figure 2
CT showing femoral hernia.
Figure 3
Figure 3
Oedematous and infective appendix with necrotic tip seen within the hernial sac.
See this image and copyright information in PMC

References

    1. Hospital Episode Statistics, Admitted Patient Care—England, 2011-12; The NHS Information Centre.
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    1. De Garengeot RJC. Traite des operations de chuirgie. 2nd edn Paris: Huart, 1731:369–71
    1. Voitk AJ, Macfarlane JK, Estrada RL. Ruptured appendicitis in femoral hernias: report of two cases and review of the literature. Ann Surg 1974;201324–6 - PMC - PubMed
    1. Akopian G, Alexander M. De Garengeot hernia: appendicitis within a femoral hernia. Am Surg 2005;2013526–7 - PubMed

Publication types