Shellman Zachary, Worku Dawit, Kulkarni Nikhil
Department of General Surgery, Lincoln County Hospital, Lincoln, UK.
J Surg Case Rep. 2022 Jul 23;2022(7):rjac189. doi: 10.1093/jscr/rjac189. eCollection 2022 Jul.
De Garengeot hernia is a rare type of hernia so called when the vermiform appendix is found within the hernia sac of a femoral hernia. For the appendix to be inflamed is yet more uncommon. We present the case of a 61-year-old man who presented with a painful right groin lump. Computed tomography imaging reported an inguinal hernia containing a non-inflamed appendix however, intraoperative findings confirmed a femoral hernia containing an appendix with a necrotic tip. As such, these cases prove a diagnostic challenge as not only are the clinical findings illusive, but the radiological findings are often misleading. Diagnosis is often intraoperative and case reports such as this are useful in highlighting this challenging pathology.
加朗若疝是一种罕见的疝，当在股疝的疝囊内发现阑尾时即为此疝。阑尾发生炎症则更为罕见。我们报告一例61岁男性患者，其表现为右侧腹股沟疼痛性肿块。计算机断层扫描成像报告为腹股沟疝，疝内容物为未发炎的阑尾，然而术中发现证实为股疝，疝内容物为阑尾且阑尾尖端坏死。因此，这些病例构成了诊断挑战，因为不仅临床表现具有迷惑性，而且影像学表现也常常具有误导性。诊断往往在术中才能明确，像这样的病例报告有助于凸显这种具有挑战性的病理学情况。
