Surgical literature defines the case of acute appendicitis in a sac of femoral hernia as de Garengeot's hernia. The diagnosis remains a very hard challenge for surgeon because the symptoms are aspecific and the most effective tools for preoperative evaluation (as abdominal computed tomography and abdominal ultrasound scan) can often be indeterminate or misinterpreted. We report the case of an 85-year-old white male admitted to our unit complaining of a 1-day history of vague abdominal pain, nausea, vomiting, and painful swelling in the right groin. Preoperatively, an incarcerated right femoral hernia was supposed and patient underwent surgery via oblique inguinal incision. The intraoperative finding was a de Garengeot's hernia and an appendectomy with hernia repair was performed. Patient had a regular course and was discharged on the second postoperative day.
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http://dx.doi.org/10.1007/s12262-015-1266-z | DOI Listing |
Cureus
December 2024
General Surgery, Southend University Hospital, Mid and South Essex National Health Service (NHS) Foundation Trust, Southend-on-Sea, GBR.
De Garengeot's hernia, a femoral hernia containing an incarcerated appendix, is rarely encountered in clinical practice. We report a case of a 62-year-old woman presenting with a right groin lump. A computed tomography scan reported a right inguinal hernia containing fluid with no bowel involvement.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
Department of Surgery, Faculty of Medicine, University of Jaffna, Sri Lanka. Electronic address:
Cureus
November 2024
General and Bariatric Surgery, Walsall Manor Hospital, Walsall, GBR.
De Garengeot hernia is a rare occurrence characterised by the presence of the appendix within a femoral hernia. This type of hernia is notable for its rare anatomical presentation. In rare instances, the appendix can present as inflamed or necrotic in which case it may present as an emergency.
View Article and Find Full Text PDFCureus
August 2024
General and Laparoscopic Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU.
Int J Surg Case Rep
September 2024
Department of General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Introduction: De Garengeot hernia is a rare subset of femoral hernias containing the vermiform appendix. It is more common in females. The presenting symptoms are non-specific hence diagnosis is challenging and there is no consensus on treatment of it.
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