Unusual presentation of De Garengeot hernia
| Autor: | Ashish Shrestha, Abu Kamal Nahid, Angelos Mantelakis, Chang Woo Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Lymph node biopsy Lymphadenopathy Appendix Groin 03 medical and health sciences 0302 clinical medicine Rare Diseases Rare Disease Weight Loss medicine Appendectomy Humans Hernia Pelvis Fatigue Herniorrhaphy Aged Vermiform medicine.diagnostic_test business.industry General Medicine Femoral hernia medicine.disease digestive system diseases Hernia Femoral Surgery medicine.anatomical_structure surgical procedures operative Treatment Outcome 030220 oncology & carcinogenesis Abdomen Female business Tomography X-Ray Computed 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | De Garengeot hernia describes a rare phenomenon in which a vermiform appendix is found in a femoral hernia sac. We describe a case of De Garengeot hernia presenting as a groin lump associated with loss of appetite, weight loss and fatigue. A 72-year-old woman was referred to our rapid access 2-week clinic as isolated lymphadenopathy with a 4-week history of a gradual right groin swelling accompanied by an unintentional weight loss, lethargy and anorexia. An urgent excisional lymph node biopsy was performed preceding the CT scan of the chest, abdomen and pelvis. The biopsy showed a shaving of appendix wall, and the CT scan revealed a right-sided femoral hernia with appendix as its content. The patient was urgently contacted for a laparoscopic appendicectomy and an open right femoral hernia repair. The patient recovered well postoperatively, and her systemic symptoms fully resolved when reviewed 10 weeks after the operation. |
| Databáze: | OpenAIRE |
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