A Case of De Garengeot Hernia in an Elderly Man

Abstract

A 75–year–old man visited our hospital with enlargement of an inguinal mass. Abdominal computed tomography and ultrasonography showed a tubular structure running from the cecum through the femoral ring into the hernial sac. A femoral hernia with a strangulated appendix in its sac was highly suspected and an emergency operation was performed. The appendix was strangulated, and its tip has become dark red. Neither perforation nor abscess formation was detected, and appendectomy and mesh repair were performed. Inflammatory cells were hardly detected and congestive change was the main finding in the pathological examination. Ileus is rarely detected in cases of De Garengeot hernia, and imaging inspections are useful for diagnosis. Mesh repair is possible in cases with little pollution.