title: [A woman with a painful groin].
abstract: A 74-year-old woman presented with a nonreducible, painful bulge of 10 cm in the right groin-region, which had been present for 5 days. She was not feeling ill. During the CT-scan the patient performed a Valsalva maneuver. The scan demonstrated a right femoral hernia with incarcerated peritoneal fat, infiltrate and an inflamed appendix. Peroperative findings confirmed the diagnosis "hernia De Garengeot".
authors.affiliation: Orbis Medisch Centrum, afd. Heelkunde, Sittard, the Netherlands. DMC.Janssen@alumni.maastrichtuniversity.nl
authors.forename: Daniël M C
authors.initials: DM
authors.lastname: Janssen
authors.forename: Ton G M
authors.initials: TG
authors.lastname: Hoofwijk
mesh_terms: D000368:Aged; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006119:Groin / Q000000981:diagnostic imaging / Q000473:pathology; D006550:Hernia, Femoral / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D011859:Radiography; D014636:Valsalva Maneuver