Laparoscopic Appendectomy Combined with TEP for de Garengeot Hernia: Case Report

Abstract

Introduction : 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. Case report : 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. Discussion : To our knowledge, this is the first report of this type of approach for a de Garengeot hernia.

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M. Beysens

M. Beysens OLV van Lourdes Ziekenhuis Vijfseweg 150 8790 Waregem, Belgium Tel.: [phone] Fax: [phone] E-mail: [email protected]