Alkashty Mohamed, Dickinson Ben, Tebala Giovanni D
Department of General Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, United Kingdom.
Department of General Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Ann Coloproctol. 2021 Jul;37(Suppl 1):S55-S57. doi: 10.3393/ac.2020.09.21.2. Epub 2021 May 28.
De Garengeot's hernia happens when an inflamed or ischemic appendix is located within an incarcerated femoral hernia. We hereby report a case of De Garengeot's hernia treated with a combined open and laparoscopic approach. An 80-year-old male presented to the emergency department with a 1-day history of a tender right inguinal mass. A computed tomography scan revealed a direct right inguinal hernia containing an incarcerated appendix. At surgery, the diagnosis of a strangulated appendix within a femoral hernia was made. To avoid a wide disruption of the right groin region, the ischemic appendix was reduced into the abdomen and removed laparoscopically. The femoral defect was treated by open plug repair. De Garengeot's hernia may represent a surgical challenge. A combined open and laparoscopic approach is a good option in these cases.
加朗热疝是指发炎或缺血的阑尾位于嵌顿性股疝内。我们在此报告一例采用开放与腹腔镜联合方法治疗的加朗热疝病例。一名80岁男性因右侧腹股沟区压痛性肿块1天就诊于急诊科。计算机断层扫描显示右侧腹股沟直疝，疝内容物为嵌顿的阑尾。手术中诊断为股疝内绞窄性阑尾。为避免广泛破坏右侧腹股沟区，将缺血的阑尾还纳至腹腔并通过腹腔镜切除。股疝缺损采用开放补片修补术治疗。加朗热疝可能是一个手术挑战。在这些病例中，开放与腹腔镜联合方法是一个不错的选择。
