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De Garengeot's hernia: an unusual case on call
1Department of Colorectal Surgery, Plymouth Hospitals NHS Trust, Plymouth, UK.
BMJ Case Reports
|March 27, 2017
Summary
De Garengeot's hernia, a rare condition involving the appendix within a femoral hernia, presents diagnostic challenges. This case highlights the importance of considering it in elderly patients with acute abdominal pain, leading to intraoperative diagnosis and successful surgical repair.
Area of Science:
- Surgery
- Gastroenterology
- Anatomy
Background:
- De Garengeot's hernia is a rare condition defined as a femoral hernia containing the vermiform appendix.
- The incidence of appendicitis within a femoral hernia is exceptionally uncommon, posing diagnostic difficulties.
Observation:
- A 96-year-old female presented with acute right iliac fossa pain, mimicking other common abdominal pathologies.
- Intraoperative findings confirmed the presence of de Garengeot's hernia as the cause of the patient's symptoms.
Findings:
- The patient underwent successful appendicectomy and repair of the femoral hernia defect.
- Preoperative diagnosis of de Garengeot's hernia is challenging, often requiring a high index of suspicion and typically confirmed during surgery.
Implications:
- This case underscores the necessity of including de Garengeot's hernia in the differential diagnosis for elderly patients with acute abdominal pain.
- Prompt surgical intervention, including appendicectomy and hernia repair, is the accepted management for this rare condition.
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