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.
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References
Salkade PR, Chung AY, Law YM (2012) De Garengeot’s hernia: an unusual right groin mass two to acute appendicitis in an incarcerated femoral hernia. Hong Kong Med J 18(5):442–445
Weir CD, Doan SJ, Lughlin V, Diamond T (1994) Strangulation of the appendix in a femoral hernia sac. Ulster Med J 63(1):114–115
Erdas E, Sias L, Licheri S, Secci L, Aresu S, Barbarossa M, Pomata M (2013) De Garengeot hernia with acute appendicitis. G Chir 34(3):86–89
Ebisawa K, Yamazaki S, Kimura Y, Kashio M, Kurito K, Yasumuro S, Nishida S, Takayama T (2009) Acute appendicitis in an incarcerated femoral hernia: a case of De Garengeot Hernia. Case Rep Gastroenterol 3(3):313–317
Piperos T, Kalles V, Al Ahwal Y, Konstantinou E, Skarpas G, Mariolis-Sapsakos T (2012) Clinical significance of de Garengeot’s hernia: a case of acute appendicitis and review of the literature. Int J Surg Case Rep 3(3):116–117
Nguyen ET, Komenaka IK (2004) Strangulated femoral hernia containing a perforated appendix. Can J Surg 47(1):68–69
Comman A, Gaetzschmann P, Hanner T, Behrend M (2007) DeGarengeot hernia: transabdominal preperitoneal hernia repair and appendectomy. JSLS 11(4):496–501
Akopian G, Alexander M (2005) de Garengeot Hernia: appendicitis within a femoral hernia. Am Surg 71(6):526–527
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Tancredi, A., Bellagamba, R., Cotugno, M. et al. De Garengeot’s Hernia: a Diagnostic Challenge. Indian J Surg 77, 147–149 (2015). https://doi.org/10.1007/s12262-015-1266-z
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DOI: https://doi.org/10.1007/s12262-015-1266-z