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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2013 October;26(5):361-3
De Garengeot hernia with acute appendicitis
Erdas E., Sias L., Licheri S., Secci L., Aresu S., Barbarossa M., Pomata M.
First Institute of General Surgery San Giovanni di Dio Hospital University of Cagliari, Cagliari, Italy
The presence of the appendix within a femoral hernia sac is a rare condition known as De Garengeot hernia. This paper describes a case of De Garengeot hernia with concomitant appendicitis and briefly reviews the literature on the pathogenesis, diagnosis and treatment of this uncommon pathology. A 33 year-old woman was admitted to our surgical unit with acute-onset pain and swelling in the right groin region. Clinical signs and ultrasound imaging suggested the presence of a strangulated femoral hernia and the patient was operated on in an emergency setting. An inflamed appendix was discovered within the hernia sac, thus appendectomy via McBurney incision and prosthetic repair of the femoral ring were performed. The postoperative course was uneventful and at the 2 week and 1 year follow-up no signs of wound infection and no hernia recurrence were found. Since clinical signs are non-specific and radiological findings may often be misinterpreted, appendicitis within a femoral hernia sac is often an incidental finding during an emergency operation for strangulated femoral hernia. After appendectomy, hernia repair may be performed with or without a prosthesis depending on the extent of surgical field contamination.