Atypical presentation of a de Garengeot Hernia: A Case Report

Author Info

Jesse Pasternak Megan Melland-Smith

Corresponding Author

Megan Melland-Smith
Division of General Surgery, University of Toronto, Toronto, ON, Canada

A B S T R A C T

Introduction: An inflamed appendix found within a femoral hernia, a de Garengeot hernia, is a rare occurrence which can present with a variety of different symptoms and be a challenge to surgical management. Case Presentation: We present the case of a 59-year-old female who presented with migratory right lower quadrant pain and was found to have a de Garengeot hernia diagnosed pre-operatively on CT imaging. She was taken to the OR for an urgent laparoscopic appendectomy with closure of the femoral hernia sack. Given this is not a true repair, the patient was scheduled for an elective femoral hernia repair subsequently. Discussion: This is the first report of a de Garengeot hernia from the Toronto area. Our case is the first of its kind to present with typical signs of appendicitis without any obvious bulge in the groin. Conclusion: This case report describes two very common acute surgical presentations, appendicitis and incarcerated hernia, seen simultaneously with only one rare pathology.

Article Info

Article Type

Case Report

Publication history

Received: Sat 22, Sep 2018
Accepted: Sat 13, Oct 2018
Published: Mon 29, Oct 2018

Copyright

© 2023 Megan Melland-Smith. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2018.03.110