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10.1093/jscr/rjaa464

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33294160!7700796!33294160
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suck abstract from ncbi


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pmid33294160      J+Surg+Case+Rep 2020 ; 2020 (11): rjaa464
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  • Case study: diagnosis and operative management of de Garengeot hernia without appendectomy during the COVID-19 pandemic #MMPMID33294160
  • Chagares SA; Patel TR; Fotopoulos N
  • J Surg Case Rep 2020[Nov]; 2020 (11): rjaa464 PMID33294160show ga
  • de Garengeot herniae have been reported in <100 cases in literature. They are characterized by an incarcerated femoral hernia containing the appendix. We present the case of a 45-year-old female who, upon emergency intraoperative consultation to a general surgeon while having a right groin exploration by a plastic surgeon, was found to have an appendix incarcerated within a femoral hernia. There was no evidence of appendicitis; thus, appendix was reduced and the hernia was repaired with a mesh plug. The patient did well postoperatively, with no complications and returned to complete activities. This occurred during the coronavirus disease (COVID-19) pandemic. Due to the common failure in preoperative diagnosis, it is important for surgeons to have a clinical suspicion for de Garengeot herniae for patients, presenting with a right groin bulge. Appendectomy may be safely avoided, eliminating appendectomy-associated morbidity and avoiding hospital transfer and the associated risk of COVID-19 exposure.
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