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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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