CT and Ultrasound findings in a case of De Garengeot's herni
A 72 year-old male presented to emergency department with 5 days history of right groin swelling and a 1-day history of acute pain at that region. The patient had undergone laparotomy in 1980 for perforated duodenal ulcer. The patient had no other relevant previous medical or surgical history or history of trauma.

On examination, a 3 × 6 cm firm irreducible tender right groin swelling with no overlying skin changes noted. The patient was otherwise clinically stable with normal vitals. Abdominal examination revealed an upper midline scar and a 1 × 1 cm small reducible umbilical hernia. His lab findings (CBC, creatinine, and PT, PTT, and urea electrolyte) were within normal ranges. A provisional diagnosis of right femoral hernia was given and a bedside ultrasound followed by CT was done to confirm the content of the hernia and rule out any other abdominal pathology prior surgery.

The patient was admitted in the hospital with a diagnosis of right femoral hernia containing acutely inflamed appendix and surgery was planned for appendicectomy and herniorrhaphy. In patient; an infrainguinal incision was performed. The femoral hernia was found out and was opened. An inflamed congested appendix within the sac was reveled, subsequently appendectomy performed and the hernia was repaired via hernioplasty using McVay technique.

The postoperative course was uneventful and the patient was discharged after 7 days. Afterward, the patient was followed up after 4 weeks in the surgery clinic, the wound was clean and healing as expected.

Source: Radiology Case Reports, Volume 14, Issue 6

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