Moore Madeline, Amr Bassem
Department of Colorectal Surgery, Plymouth Hospitals NHS Trust, Plymouth, UK.
Department of Surgery, Plymouth Hospitals NHS Trust, Plymouth, UK.
BMJ Case Rep. 2017 Mar 24;2017:bcr2016218153. doi: 10.1136/bcr-2016-218153.
De Garengeot's hernia is defined as a femoral hernia that contains the appendix. Owing to the extreme rarity of de Garengeot's hernia, it could represent a diagnostic challenge; however, it should remain in the differential diagnosis, particularly in this patient demographic. A female patient aged 96 years, who presented as an emergency with acute right iliac fossa pain, was found to have de Garengeot's hernia. The diagnosis was made intraoperatively, where she was treated with an appendicectomy and repair of the hernia defect. The incidence of de Garengeot's hernia is 0.5-5% and the incidence of appendicitis within a femoral hernia is extremely rare. Preoperative diagnosis is challenging to the treating surgeon, which requires a high index of suspicion and is usually made intraoperatively. There is no standard treatment; however, simple appendicectomy and hernia repair seems to be an accepted management.
加朗热疝被定义为包含阑尾的股疝。由于加朗热疝极为罕见，它可能构成诊断挑战；然而，它仍应保留在鉴别诊断范围内，尤其是对于该患者群体。一名96岁的女性患者因急性右下腹疼痛作为急诊入院，被发现患有加朗热疝。诊断是在术中做出的，术中对她进行了阑尾切除术并修复了疝缺损。加朗热疝的发病率为0.5% - 5%，股疝内阑尾炎的发病率极为罕见。术前诊断对主刀医生来说具有挑战性，这需要高度的怀疑指数，且通常在术中做出诊断。目前尚无标准治疗方法；然而，单纯阑尾切除术和疝修补术似乎是一种可接受的治疗方式。
