Unusual case of De Garengeot hernia: femoral hernia containing purulent appendicitis in a 69-year-old man

被引:0
作者
Yan, Longchao [1 ]
Zhang, Yingyi [1 ]
机构
[1] Dalian Med Univ, Dept Gen Surg, Dalian Peoples Hosp 3, Qianshan Rd 40, Dalian 116033, Liaoning, Peoples R China
关键词
Femoral hernia; De Garengeot; appendix; preperitoneal; open anterior approach; case report; DIAGNOSIS;
D O I
10.1177/03000605211028409
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
A De Garengeot hernia is a rare type of femoral hernia that involves a vermiform appendix within a femoral hernia sac. Because of the rarity of this disease, a standard surgical procedure has not been established, and most cases are diagnosed intraoperatively. Preoperative diagnosis of a De Garengeot hernia is quite difficult. Computed tomography is the most sensitive and specific technique among the available imaging tests for preoperative diagnosis of a De Garengeot hernia. Although a standard surgical procedure is lacking, prompt surgery has become the consensus. The most common procedure is the open anterior approach; this allows exploration of the hernia sac and rapid treatment of its contents, routine appendectomy through a single incision, and preperitoneal repair of the femoral hernia.
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