AI Article Synopsis

  • Herniation of the appendix into a femoral hernia, known as De Garengeot hernia, is rare and usually found during hernia repairs.
  • A case study describes a patient with a painful groin mass who underwent emergency surgery, revealing acute appendicitis in a strangulated femoral hernia.
  • The patient received an appendectomy and hernia repair, resulting in a smooth recovery, highlighting the need for surgeons to recognize this unusual condition.

Article Abstract

Background: Herniation of the appendix into a femoral hernia--also called De Garengeot hernia--is a rare but well-recognized entity. It is typically discovered incidentally during hernia repair. Acute appendicitis in a strangulated femoral hernia is even more uncommon.

Aim: Report a new case.

Case: We report on a patient admitted for a painful groin mass. She underwent emergency surgery. Exploration identified acute appendicitis in a strangulated femoral hernia sac.

Management: Appendectomy associated with Mac Vay's herniorrhaphy were performed. The outcome was uneventful.

Conclusion: Surgeons should be aware of the existence of this infrequent and atypical presentation of appendicitis and femoral hernia.

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