Ikram Saad, Kaleem Ahmed, Satyapal Deepak, Ahmad Syed Muzaffar
General Surgery, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK.
BMJ Case Rep. 2018 Mar 28;2018:bcr-2017-223605. doi: 10.1136/bcr-2017-223605.
A hernia is defined as a protrusion of an organ or its fascia through a sac of its containing cavity. The presentation of an inflamed appendix inside an incarcerated femoral hernia is termed de Garengeot's hernia. Almost exclusively seen in the female patient, this type of hernia like all others can undergo strangulation leading to complications including appendicitis with or without perforation. Management as described in literature usually comprises open or laparoscopic approach, followed by appendectomy and repair of the femoral hernia with or without mesh. We describe a case of a female patient who presented with an irreducible groin swelling, found to have a femoral hernia containing the inflamed appendix intraoperatively and how it was managed surgically through a laparoscopic approach with a small mesh and closure of defect. Literature review on this rare form of hernia is discussed thereafter.
疝被定义为器官或其筋膜通过容纳该器官的腔隙的囊突出。嵌顿性股疝内出现发炎的阑尾被称为加伦热疝。这种类型的疝几乎仅见于女性患者，与所有其他疝一样，它可能会发生绞窄，导致包括阑尾炎伴或不伴穿孔在内的并发症。文献中描述的治疗方法通常包括开放或腹腔镜手术，随后进行阑尾切除术以及修补股疝，可使用或不使用补片。我们描述了一例女性患者，她出现了不可复性腹股沟肿胀，术中发现为股疝，疝内容物为发炎的阑尾，以及如何通过腹腔镜手术使用小补片并封闭缺损来进行治疗。此后讨论了关于这种罕见疝的文献综述。
