Clinical Practice and Cases in Emergency Medicine
De Garengeot Hernia Diagnosed with Point-of-care Ultrasound
- Author(s): Jennings, Lindsey
- Presley, Brad
- Jauch, Edward
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2019.1.41170
De Garengeot hernias, defined as a femoral hernia containing the appendix, are rare. It is even uncommon to have an incarcerated de Garengeot hernia with associated acute appendicitis. We report a case of a 76-year-old female presenting to the emergency department for a right lower quadrant abdominal mass for four days. Physical exam was consistent with an incarcerated hernia. A point-of-care ultrasound revealed a non-compressible, blind-ended loop of bowel within the hernia sac, concerning for acute appendicitis within the mass. Computed tomography of the abdomen and pelvis confirmed the diagnosis of acute appendicitis within a femoral hernia.