Department of Radiology, Adelaide and Meath Hospitals, Tallaght, Dublin, Ireland.
Br J Radiol. 2012 Mar;85(1011):e59-61. doi: 10.1259/bjr/27759683.
The presence of the appendix within a femoral hernia is rare. It was first described by the French surgeon Jacques Croissant de Garengeot in 1731. This phenomenon accounts for 0.8-1% of all femoral hernias. Acute appendicitis occurring within a femoral hernia is even rarer and is difficult to diagnose pre-operatively. This type of hernia is termed a de Garengeot hernia. The ultrasonographic and CT imaging features of de Garengeot hernias have been described previously. We report a case of a 57-year-old female who presented with a painful right-sided groin mass. She underwent MRI of the inguinal region, which successfully diagnosed this rare hernia pre-operatively. To our knowledge, this is the first description of a de Garengeot hernia diagnosed using MRI.
股疝内存在阑尾的情况较为罕见。这种现象于 1731 年首次由法国外科医生雅克·克朗尚·德加兰热奥（Jacques Croissant de Garengeot）描述。这种现象占所有股疝的 0.8-1%。股疝内发生急性阑尾炎更为罕见，术前难以诊断。这种疝被称为德加兰热奥疝。德加兰热奥疝的超声和 CT 成像特征此前已有描述。我们报告了一例 57 岁女性，她因右侧腹股沟区疼痛性肿块就诊。她接受了腹股沟区域的 MRI 检查，该检查成功地在术前诊断了这种罕见的疝。据我们所知，这是首例使用 MRI 诊断的德加兰热奥疝。
