Ann Coloproctol.  2021 Jul;37(Suppl 1):S55-S57. 10.3393/ac.2020.09.21.2.

De Garengeot’s Hernia Treated With a Hybrid Approach: A Case Report

Affiliations
  • 1Department of General Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, United Kingdom
  • 2Department of General Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom

Abstract

De Garengeot’s hernia happens when an inflamed or ischemic appendix is located within an incarcerated femoral hernia. We hereby report a case of De Garengeot’s hernia treated with a combined open and laparoscopic approach. An 80-year-old male presented to the emergency department with a 1-day history of a tender right inguinal mass. A computed tomography scan revealed a direct right inguinal hernia containing an incarcerated appendix. At surgery, the diagnosis of a strangulated appendix within a femoral hernia was made. To avoid a wide disruption of the right groin region, the ischemic appendix was reduced into the abdomen and removed laparoscopically. The femoral defect was treated by open plug repair. De Garengeot’s hernia may represent a surgical challenge. A combined open and laparoscopic approach is a good option in these cases.

Keyword

Femoral hernia; Appendicitis; De Garengeot’s hernia
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