Salawu Ahmed, Sarsam Maan, Butcher Katrina
Department of General Surgery, Weston General Hospital, University Hospitals Bristol and Weston NHS Trust, Grange Road Uphill, Weston-Super-Mare, Bristol BS23 4TQ, United Kingdom.
J Surg Case Rep. 2025 Jan 11;2025(1):rjae673. doi: 10.1093/jscr/rjae673. eCollection 2025 Jan.
The presence of an appendix in the femoral hernia, known as De Garengeot hernia, was first described by a French surgeon named Rene Jacques Croissant de Garengeot in 1731. It is a rare surgical entity occurring in only 0.5-5% of all femoral hernias. It presents typically as an irreducible lump in the groin which may be difficult to differentiate from incarcerated inguinal hernia. The risk of incarceration is high due to the narrow femoral defect which can result in extraluminal compression of the appendix causing acute appendicitis. We have presented a 71-year-old woman with a 24 hour history of incarcerated De Garengeot hernia who underwent successful open femoral hernia repair with laparoscopic appendicectomy. While open femoral hernia repair with open appendicectomy is regarded as the commonly used surgical approach, we have highlighted the importance of pre-operative and intra-operative findings in predicting definitive surgical management.
股疝中存在阑尾，即德加朗若疝，最早由法国外科医生勒内·雅克·克罗桑·德加朗若于1731年描述。它是一种罕见的外科病症，在所有股疝中仅占0.5%-5%。其典型表现为腹股沟区不可复性肿块，可能难以与嵌顿性腹股沟疝相鉴别。由于股管缺损狭窄，阑尾可能受到管腔外压迫，导致急性阑尾炎，因此嵌顿风险很高。我们报告了一名71岁女性，患有嵌顿性德加朗若疝24小时，接受了开放性股疝修补术并同时进行了腹腔镜阑尾切除术，手术成功。虽然开放性股疝修补术加开放性阑尾切除术被认为是常用的手术方法，但我们强调了术前和术中发现对预测最终手术治疗的重要性。
