Fisher Matthew T, Adiletta Antonio, Farrell Timothy J
General Surgery, Geisinger Wyoming Valley Hospital, Wilkes-Barre, PA, USA.
Medical Education, Geisinger Commonwealth School of Medicine, Scranton, PA, USA.
J Surg Case Rep. 2018 Aug 20;2018(8):rjy186. doi: 10.1093/jscr/rjy186. eCollection 2018 Aug.
The presence of an incarcerated vermiform appendix within a femoral hernia defect, a De Garengeot hernia, is distinctly different than an inguinal hernia containing the appendix, an Amyand hernia. The De Garengeot hernia is a rare finding with few reported cases. We present a 35-year-old female with a painful groin mass palpable below the inguinal ligament. An ultrasound of the groin revealed a thin-walled fluid collection medial to the femoral vessels. No additional imaging at the time was obtained. Intra-operatively, the patient was found to have her distal appendix incarcerated within the transected hernia sac thus altering the planned surgical procedure. We present a unique operative approach for managing a De Garengeot hernia.
股疝缺损内存在绞窄性阑尾（即德加朗若疝）与腹股沟疝合并阑尾（即阿米亚德疝）明显不同。德加朗若疝是一种罕见发现，报道的病例很少。我们报告一名35岁女性，其腹股沟韧带下方可触及疼痛性腹股沟肿块。腹股沟超声显示股血管内侧有薄壁液性肿物。当时未进行其他影像学检查。术中发现患者远端阑尾嵌顿于横断的疝囊内，从而改变了计划的手术方式。我们介绍一种处理德加朗若疝的独特手术方法。
