Another for the collection

“Don’t let the sun rise or set on a strangulated hernia…”

George Friedrich Louis Stromeyer

Readers of the blog will have realised that I like to collect things, usually obscure things. One of these things I like to collect is rare hernia types. It means you don’t want to mess with me during surgical exam vivas. Here in my latest and new favourite hernia, the De Garengeot. In 1731 the impressively named Frenchman Rene Jacques Croissant De Garengeot (seen above), described a femoral hernia containing the appendix. Since then 222 cases have been reported in the surgical literature, 80% in females and 40% presenting with the rare condition of femoral appendicitis. This hernia should not be confused with the Amyand, the appendix in an inguinal hernia, or a Littre, a Meckel’s diverticulum in a groin hernia, virtually always a femoral hernia. #surgicalnerd #letsmakelemonade

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