De Garengeot's hernia: an unusual case on call

De Garengeot's hernia is defined as a femoral hernia that contains the appendix. Owing to the extreme rarity of de Garengeot's hernia, it could represent a diagnostic challenge; however, it should remain in the differential diagnosis, particularly in this patient demographic. A female pati...

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Bibliographic Details
Published in:BMJ case reports 2017-03, Vol.2017, p.bcr2016218153
Main Authors: Moore, Madeline, Amr, Bassem
Format: Article
Language:English
Subjects:
80 years
Abdomen
Aged, 80 and over
Appendectomy - methods
Appendicitis
Appendix - surgery
Diagnosis, Differential
Europe (West)
Female
Hernia, Femoral - diagnosis
Hernia, Femoral - surgery
Hernias
Herniorrhaphy
Humans
Infections
Laparoscopy
Medical imaging
Patients
Rare Disease
Surgeons
White
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Summary:De Garengeot's hernia is defined as a femoral hernia that contains the appendix. Owing to the extreme rarity of de Garengeot's hernia, it could represent a diagnostic challenge; however, it should remain in the differential diagnosis, particularly in this patient demographic. A female patient aged 96 years, who presented as an emergency with acute right iliac fossa pain, was found to have de Garengeot's hernia. The diagnosis was made intraoperatively, where she was treated with an appendicectomy and repair of the hernia defect. The incidence of de Garengeot's hernia is 0.5–5% and the incidence of appendicitis within a femoral hernia is extremely rare. Preoperative diagnosis is challenging to the treating surgeon, which requires a high index of suspicion and is usually made intraoperatively. There is no standard treatment; however, simple appendicectomy and hernia repair seems to be an accepted management.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-218153