Chagares Stephen A, Patel Tushar R, Fotopoulos Nicholas
Department of Surgery, Private Practice of Stephen A. Chagares, Tinton Falls, NJ, USA.
Plastic and Reconstructive Surgery, The Institute for Advanced Reconstruction, Shrewsbury, NJ, USA.
J Surg Case Rep. 2020 Nov 30;2020(11):rjaa464. doi: 10.1093/jscr/rjaa464. eCollection 2020 Nov.
de Garengeot herniae have been reported in <100 cases in literature. They are characterized by an incarcerated femoral hernia containing the appendix. We present the case of a 45-year-old female who, upon emergency intraoperative consultation to a general surgeon while having a right groin exploration by a plastic surgeon, was found to have an appendix incarcerated within a femoral hernia. There was no evidence of appendicitis; thus, appendix was reduced and the hernia was repaired with a mesh plug. The patient did well postoperatively, with no complications and returned to complete activities. This occurred during the coronavirus disease (COVID-19) pandemic. Due to the common failure in preoperative diagnosis, it is important for surgeons to have a clinical suspicion for de Garengeot herniae for patients, presenting with a right groin bulge. Appendectomy may be safely avoided, eliminating appendectomy-associated morbidity and avoiding hospital transfer and the associated risk of COVID-19 exposure.
文献报道的加朗热疝（de Garengeot疝）病例不足100例。其特征为嵌顿性股疝内含有阑尾。我们报告一例45岁女性病例，该患者在整形外科医生进行右侧腹股沟探查时，普通外科医生进行紧急术中会诊，发现阑尾嵌顿于股疝内。无阑尾炎证据；因此，将阑尾还纳，并用网塞修补疝。患者术后恢复良好，无并发症，恢复了全部活动。这一病例发生在冠状病毒病（COVID - 19）大流行期间。由于术前诊断常出现失误，对于出现右侧腹股沟肿物的患者，外科医生对加朗热疝保持临床怀疑很重要。可安全避免阑尾切除术，消除与阑尾切除术相关的发病率，并避免转院及接触COVID - 19的相关风险。
