Laparoscopic appendectomy combined with TEP for de Garengeot hernia: case report
Beysens, M.; Haeck, L.; Vindevoghel, K.
Acta Chirurgica Belgica 113(6): 468-470
2013
ISSN/ISBN: 0001-5458 PMID: 24494479 Document Number: 667370
A de Garengeot hernia is defined as a femoral hernia containing the vermiform appendix. De Garengeot hernia is a rare condition, reported to occur in only 0.8% of all femoral hernias. Acute appendicitis presenting within a femoral hernia is even rarer, occuring in 0.08-0.13% of all cases of acute appendicitis. We present the case of a 64-year-old woman with the diagnosis of incarcerated groin hernia. An urgent laparoscopy was performed showing the distal part of the appendix passing through a small right-sided femoral hernia. A laparoscopic appendectomy was performed, followed by TEP-procedure for femoral hernia repair. To our knowledge, this is the first report of this type of approach for a de Garengeot hernia.