A femoral hernia is found at operation to contain an inflamed, congested appendix within the femoral canal. What is the correct eponym for this entity?

• A Cooper's hernia
• B Amyand's hernia
• C De Garengeot's hernia ✓
• D Richter's hernia

Explanation

C de Garengeot hernia is a femoral hernia containing the vermiform appendix, and it may present as appendicitis within a groin lump below the inguinal ligament. Amyand's hernia is the corresponding entity in an inguinal hernia sac. Cooper's hernia refers to a femoral hernia with two sacs, one tracking alongside the femoral vessels, and a Richter hernia entraps only the antimesenteric border of bowel without obstruction. Recognising the distinction guides whether appendicectomy can be done through the hernia approach.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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