Erschienen in:
01.04.2015 | Case Report
De Garengeot’s Hernia: a Diagnostic Challenge
verfasst von:
Antonio Tancredi, Riccardo Bellagamba, Michele Cotugno, Elvira Impagnatiello, Pasquale La Torre, Maurizio Masi, Giacomo Ciavarella
Erschienen in:
Indian Journal of Surgery
|
Ausgabe 2/2015
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Abstract
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.