A 68-year-old woman presents with a tender, irreducible swelling below and lateral to the pubic tubercle. At emergency exploration of the femoral canal, the sac is found to contain an inflamed, congested vermiform appendix with a normal caecum remaining intra-abdominal. What is the correct term for this finding?

• A Grynfeltt hernia
• B Amyand's hernia
• C De Garengeot hernia ✓
• D Petit hernia

Explanation

C de Garengeot hernia is a femoral hernia containing the vermiform appendix, named after the French surgeon who first described appendicitis within a femoral sac. Amyand's hernia, by contrast, is the same content within an inguinal hernia sac, and is the classic distractor here. Grynfeltt and Petit refer to lumbar hernias through the superior and inferior lumbar triangles respectively. Management combines hernia repair with appendicectomy when the appendix is inflamed.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.