Brief report: De Garengeot’s hernia

Abstract

We describe a case of a 70-year-old female who presented with pain and swelling in her right groin. CT scan of the abdomen and pelvis found Amyand’s hernia with evidence of inflammation of the appendiceal tip consistent with appendicitis. Laparoscopic appendectomy and open hernia repair revealed an incarcerated hernia. Using blunt dissection, the inflamed tip of the appendix was found in the femoral canal. The appendix was removed. The patient had a De Garengeot’s hernia, not the Amyand’s hernia initially suspected. Patient was discharged home the following day.

Keywords

Hernia / De Garengeot’s Hernia / Femoral hernia / Incarcerated hernia

ACKNOWLEDGEMENTS

We would like to thank Diane Shih, MD for her training and mentorship, as well as Rodney Grim, PhD for help with submitting this manuscript.

CONFLICTS OF INTEREST DISCLOSURE

The authors declare they have no conflicts of interest.

References

[1] Comman A, Gaetzschmann P, Hanner T, et al. DeGarengeot hernia: transabdominal preperitoneal hernia repair and appendectomy. JSLS. 2007; 11(4): 496-501.

[2] Saylam B, Gülseren MO, ¸Sim¸sek B, et al. Incarcerated appendix within femoral hernia. Formos J Surg. 2014; 47(6): 231-232. https://doi.org/10.1016/j.fjs.2014.06.001