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[De Garengeot hernia - a case report].

Rebekka Ros Tryggvadottir1, Pall Helgi Moller2, Halla Vidarsdottir1

  • 1Department of Surgery, Landspitali University Hospital.

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|November 30, 2023
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Summary

This case report details a rare femoral hernia containing an inflamed appendix, a condition known as Garengeot

Keywords:
De Garengeot herniaappendix vermiformisfemoral hernia

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • A 79-year-old woman with a history of polycythemia vera, glaucoma, and hypertension presented with lower abdominal pain and a right groin tumor.
  • Past surgical history included cholecystectomy with incidental gallbladder carcinoma, partial liver resection, and hysterectomy.

Observation:

  • Computed tomography (CT) scan revealed a hernia sac containing the appendix vermiformis.
  • The patient experienced lower abdominal pain and a palpable tumor in the right groin.

Findings:

  • Surgical intervention via a preperitoneal open approach successfully removed an inflamed appendix from the femoral hernia sac.
  • Herniorrhaphy with mesh repair was performed, and the patient was discharged the following day.

Implications:

  • This case highlights the rare Garengeot hernia, defined as a femoral hernia containing the appendix.
  • Early diagnosis and surgical management are crucial for favorable outcomes in such rare presentations.