A Case of De Garengeot Hernia

Abstract

A 77-year-old woman presented to a neighboring clinic with a 4-day history of gradually increasing swelling and pain of a pre-existing lump in the right groin. The patient was diagnosed with incarcerated femoral hernia, and was referred to our hospital for further evaluation and treatment. Abdominal ultrasonography and contrast-enhanced CT scan revealed a right femoral hernia with incarceration of the appendix within the hernia sac. We performed routine open appendectomy, and the hernia was repaired by using UHS^® mesh via the same site. Up to the present date, the patient has been doing well, without postoperative complications or recurrence. A femoral hernia is a relatively common disorder in middle-aged to elderly postmenopausal women, which entails a high risk of strangulation (30-50%). De Garengeot hernia is defined as a femoral hernia incarcerating the appendix vermiformis within a femoral hernia sac, and has rarely been reported. This article describes our case of de Garengeot hernia.