West Holly E, Nadeem Faisal, Abbott Sian
General Surgery, Walsall Manor Hospital, Walsall, GBR.
Cureus. 2025 Aug 8;17(8):e89638. doi: 10.7759/cureus.89638. eCollection 2025 Aug.
A De Garengeot hernia describes the rare occurrence of an appendix located within a femoral hernia sac. An incidence of appendiceal inflammation associated with a De Garengeot hernia is an even rarer surgical finding. A woman in her 70s presented to a district general hospital with a two-week history of a mildly tender right-sided groin lump. This lump was diagnostically confirmed by a computed tomography (CT) scan to be a De Garengeot hernia with associated appendiceal inflammation. The patient was managed surgically with a combined laparoscopic appendectomy, followed by an open low-approach herniorrhaphy. Primary suture repair of the femoral ring was performed due to concerns about contamination and mesh-related infection. This case highlights the diagnostic challenges associated with groin hernias containing atypical contents. Additionally, it stresses the importance of considering secondary appendiceal inflammation due to mechanical factors and compression, instead of infective processes, in cases of groin hernias with atypical symptomology.
德加朗若疝是指阑尾位于股疝囊内这种罕见情况。与德加朗若疝相关的阑尾炎症发生率更是一种极为罕见的外科发现。一名70多岁的女性因右侧腹股沟轻度压痛性肿块两周病史就诊于一家地区综合医院。计算机断层扫描（CT）检查确诊该肿块为伴有阑尾炎症的德加朗若疝。患者接受了联合腹腔镜阑尾切除术，随后行开放式低位入路疝修补术。由于担心污染和与补片相关的感染，对股环进行了一期缝合修复。该病例凸显了含有非典型内容物的腹股沟疝相关的诊断挑战。此外，它强调了在具有非典型症状的腹股沟疝病例中，考虑机械因素和压迫导致的继发性阑尾炎症而非感染过程的重要性。
