De Garengeot hernia doubly complicated: A case report

Area of Science:

• Surgical Case Reports
• Gastrointestinal Surgery
• Hernia Repair

Background:

• De Garengeot's hernia, an uncommon condition involving the appendix within a femoral hernia sac, presents diagnostic challenges.
• Strangulation and coexisting appendicitis in De Garengeot's hernia represent an extremely rare surgical emergency.

Purpose of the Study:

• To present a case of a doubly complicated De Garengeot's hernia (strangulated with appendicitis).
• To discuss the surgical management and approach for this rare condition.

Main Methods:

• A case report of a 56-year-old female patient with a strangulated De Garengeot's hernia and appendicitis.
• Intraoperative diagnosis and management via a single inguinal incision.

Main Results:

• The patient underwent successful treatment through a single inguinal incision for both appendicitis and hernia repair.
• No postoperative complications were observed, and the patient was discharged within 48 hours.

Conclusions:

• Non-specific clinical presentation necessitates prompt surgical intervention without mandatory preoperative confirmation of hernia sac contents.
• A single inguinal incision is sufficient for uncomplicated appendicitis within a strangulated De Garengeot's hernia.
• Laparoscopic approaches like transabdominal preperitoneal (TAPP) are recommended for complicated appendicitis or when abdominal exploration is needed.