BACKGROUND: Herniation of the appendix into a femoral hernia--also called De Garengeot hernia--is a rare but well-recognized entity. It is typically discovered incidentally during hernia repair. Acute appendicitis in a strangulated femoral hernia is even more uncommon. AIM: Report a new case. CASE: We report on a patient admitted for a painful groin mass. She underwent emergency surgery. Exploration identified acute appendicitis in a strangulated femoral hernia sac. MANAGEMENT: Appendectomy associated with Mac Vay's herniorrhaphy were performed. The outcome was uneventful. CONCLUSION: Surgeons should be aware of the existence of this infrequent and atypical presentation of appendicitis and femoral hernia.
BACKGROUND: Herniation of the appendix into a femoral hernia--also called De Garengeot hernia--is a rare but well-recognized entity. It is typically discovered incidentally during hernia repair. Acute appendicitis in a strangulated femoral hernia is even more uncommon. AIM: Report a new case. CASE: We report on a patient admitted for a painful groin mass. She underwent emergency surgery. Exploration identified acute appendicitis in a strangulated femoral hernia sac. MANAGEMENT: Appendectomy associated with Mac Vay's herniorrhaphy were performed. The outcome was uneventful. CONCLUSION: Surgeons should be aware of the existence of this infrequent and atypical presentation of appendicitis and femoral hernia.
Authors: V Kalles; A Mekras; D Mekras; I Papapanagiotou; W Al-Harethee; G Sotiropoulos; P Liakou; A Kastania; T Piperos; T Mariolis-Sapsakos Journal: Hernia Date: 2012-09-16 Impact factor: 4.739