Laparoscopic appendectomy combined with TEP for de Garengeot hernia: case report.
BACKGROUND
A de Garengeot hernia is defined as a femoral hernia containing the vermiform appendix. De Garengeot hernia is a rare condition, reported to occur in only 0.8% of all femoral hernias. Acute appendicitis presenting within a femoral hernia is even rarer, occuring in 0.08-0.13% of all cases of acute appendicitis.


METHODS
We present the case of a 64-year-old woman with the diagnosis of incarcerated groin hernia. An urgent laparoscopy was performed showing the distal part of the appendix passing through a small right-sided femoral hernia. A laparoscopic appendectomy was performed, followed by TEP-procedure for femoral hernia repair.


CONCLUSIONS
To our knowledge, this is the first report of this type of approach for a de Garengeot hernia.
Department of General Surgery, OLV van Lourdes Ziekenhuis, Waregem, Belgium. matthias.beysens@ugent.be
M
M
Beysens
Department of General Surgery, OLV van Lourdes Ziekenhuis, Waregem, Belgium.
L
L
Haeck
Department of General Surgery, OLV van Lourdes Ziekenhuis, Waregem, Belgium.
K
K
Vindevoghel
D001062:Appendectomy / Q000379:methods*; D001065:Appendix / Q000473:pathology; D005260:Female; D006550:Hernia, Femoral / Q000150:complications* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D013526:Surgical Mesh