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2015 ; 77
(2
): 147-9
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De Garengeot s Hernia: a Diagnostic Challenge
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Tancredi A
; Bellagamba R
; Cotugno M
; Impagnatiello E
; La Torre P
; Masi M
; Ciavarella G
Indian J Surg
2015[Apr]; 77
(2
): 147-9
PMID26139970
show ga
Surgical literature defines the case of acute appendicitis in a sac of femoral
hernia as de Garengeot's hernia. The diagnosis remains a very hard challenge for
surgeon because the symptoms are aspecific and the most effective tools for
preoperative evaluation (as abdominal computed tomography and abdominal
ultrasound scan) can often be indeterminate or misinterpreted. We report the case
of an 85-year-old white male admitted to our unit complaining of a 1-day history
of vague abdominal pain, nausea, vomiting, and painful swelling in the right
groin. Preoperatively, an incarcerated right femoral hernia was supposed and
patient underwent surgery via oblique inguinal incision. The intraoperative
finding was a de Garengeot's hernia and an appendectomy with hernia repair was
performed. Patient had a regular course and was discharged on the second
postoperative day.