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Laparoscopic appendectomy combined with TEP for de Garengeot hernia: case report
M Beysens1, L Haeck2, K Vindevoghel2
1Department of General Surgery, OLV van Lourdes Ziekenhuis, Waregem, Belgium. matthias.beysens@ugent.be
Introduction:
A de Garengeot hernia is defined as a femoral hernia containing the vermiform appendix. De Garengeot hernia is a rare condition, reported to occur in only 0.8% of all femoral hernias. Acute appendicitis presenting within a femoral hernia is even rarer, occuring in 0.08-0.13% of all cases of acute appendicitis.
Case Report:
We present the case of a 64-year-old woman with the diagnosis of incarcerated groin hernia. An urgent laparoscopy was performed showing the distal part of the appendix passing through a small right-sided femoral hernia. A laparoscopic appendectomy was performed, followed by TEP-procedure for femoral hernia repair.
Discussion:
To our knowledge, this is the first report of this type of approach for a de Garengeot hernia.
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