Chaudhry Muhammad A, Neduchelyn Yuwaraja, Ivanovski Ivan, Sarwar Hassan
Department of Surgery, Wexford General Hospital, Wexford, Ireland.
J Surg Case Rep. 2021 Jul 9;2021(7):rjab291. doi: 10.1093/jscr/rjab291. eCollection 2021 Jul.
De Garengeot's hernia is a rare subtype of femoral hernia in which the appendix is located within the herniated sac. These cases are important to report as both the diagnosis and treatment are quite challenging. We present a case of a 68-year-old gentleman with few months history of a lump in the right groin that gave him mild discomfort but no other symptoms. Initial investigations with an ultrasound did not prove to be helpful and so a plan was made to surgically explore the lump. The appendiceal tip was incarcerated within the hernial sac. The appendix was removed using an open inguinal incision with repair of the defect using a light weight partially absorbable mesh. It is important to consider the possibility of a De Garangeot's Hernia as a differential diagnosis for patients presenting with a groin lump.
德加朗若疝是股疝的一种罕见亚型，其疝囊内含有阑尾。报告这些病例很重要，因为诊断和治疗都颇具挑战性。我们报告一例68岁男性患者，其右侧腹股沟区肿物已有数月，仅伴有轻度不适，无其他症状。最初的超声检查并无帮助，因此制定了手术探查肿物的计划。阑尾尖端嵌顿于疝囊内。通过开放腹股沟切口切除阑尾，并使用轻质部分可吸收补片修补缺损。对于出现腹股沟肿物的患者，将德加朗若疝作为鉴别诊断的可能性进行考虑很重要。
