Department of General Surgery, Wollongong Hospital, Wollongong, NSW, Australia.
The University of Sydney, Sydney, New South Wales, Australia.
BMJ Case Rep. 2022 Jul 6;15(7):e247010. doi: 10.1136/bcr-2021-247010.
A De Garengeot hernia is a femoral hernia containing the vermiform appendix. This extremely rare hernia is associated with appendicitis and the risk of perforation and abscess formation. Given limited data, it poses both diagnostic and management difficulties. While management is generally surgical, questions remain about the best operative approach, indications for appendicectomy and optimum hernia repair technique. We describe a case of acute appendicitis within a De Garengeot hernia that was managed with an open appendicectomy via a Lockwood incision. This case helps to illustrate the management considerations present for this rare clinical pathology and describes a method to effectively identify the hernia and resect the appendix.
De Garengeot 疝是一种包含阑尾的股疝。这种极其罕见的疝与阑尾炎有关，并且存在穿孔和脓肿形成的风险。鉴于数据有限，它既存在诊断方面的困难，也存在管理方面的困难。虽然一般采用手术治疗，但对于最佳手术方法、阑尾切除术的适应证和最佳疝修补技术仍存在疑问。我们描述了一例经 Lockwood 切口开放阑尾切除术治疗的 De Garengeot 疝内急性阑尾炎。该病例有助于阐明这种罕见临床病理的处理注意事项，并描述了一种有效识别疝和切除阑尾的方法。
