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Case Report
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| De Garengeot's Hernia: A rare presentation of an ischemic appendix within a strangulated femoral hernia in an elderly male | ||||||
| Wahid Abdul1, Charlotte Thomas2, Keshav Swarnkar2 | ||||||
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1MB BCh, Senior House Officer (SHO), Department of General Surgery, Royal Gwent Hospital, Cardiff Road, Newport, NP20 2UB, Wales, United Kingdom.
2MB BCh FRCS(Gen Surg), Specialist Registrar (SpR), Department of General Surgery, Royal Gwent Hospital, Cardiff Road, Newport, NP20 2UB, Wales, United Kingdom. 3MB BS FRCS(Ed) FRCS(Gen Surg), Consultant General Surgeon, Royal Gwent Hospital, Cardiff Road, Newport, NP20 2UB, Wales, United Kingdom. | ||||||
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| How to cite this article |
| Abdul W, Thomas C, Swarnkar K. De Garengeot's Hernia: A rare presentation of an ischemic appendix within a strangulated femoral hernia in an elderly male. Int J Case Rep Images 2014;5(12):839–843. |
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Abstract
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Introduction:
De Garengeot's hernia; the presence of a vermiform appendix in the femoral hernia sac, is a rare occurrence. Due to the paucity of cases and no large case series yet published, the incidence of De Garengeot's hernia is reported between 0.5–5%. Femoral hernias account for less than 5% of all groin hernias and are three times more common amongst females and amongst the elderly. We report an unusual case of an 84-year-old male patient with a strangulated femoral hernia sac containing an ischemic appendix.
Case Report: An 84-year-old male presented to the emergency department with a 48 hour history of an increasingly painful right-sided groin swelling. A clinical diagnosis of an incarcerated right inguinal hernia was made and the area surgically explored. At exploration, an incarcerated femoral hernia sac containing an ischemic appendix was discovered. Appendicectomy was performed and the hernia defect repaired with nylon sutures. Post-operatively no surgical complications were encountered and histological report confirmed clinical findings. Conclusion: The presence of a vermiform appendix in the femoral hernia sac is a rare occurrence, and has been more commonly reported amongst female patients. Due to atypical presentation, preoperative diagnosis of De Garengeot's hernia is difficult. Early surgical intervention avoids potential complications. | |
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Keywords:
De Garengeot's Hernia, Ischemic appendix, Groin hernia, Appendicectomy
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Author Contributions
Wahid Abdul – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Charlotte Thomas – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published Keshav Swarnkar – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Wahid Abdul et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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