title: De Garengeot's Hernia: a Diagnostic Challenge.
abstract: Surgical literature defines the case of acute appendicitis in a sac of femoral hernia as de Garengeot's hernia. The diagnosis remains a very hard challenge for surgeon because the symptoms are aspecific and the most effective tools for preoperative evaluation (as abdominal computed tomography and abdominal ultrasound scan) can often be indeterminate or misinterpreted. We report the case of an 85-year-old white male admitted to our unit complaining of a 1-day history of vague abdominal pain, nausea, vomiting, and painful swelling in the right groin. Preoperatively, an incarcerated right femoral hernia was supposed and patient underwent surgery via oblique inguinal incision. The intraoperative finding was a de Garengeot's hernia and an appendectomy with hernia repair was performed. Patient had a regular course and was discharged on the second postoperative day.
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Tancredi
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Bellagamba
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Cotugno
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Elvira
authors.initials: E
authors.lastname: Impagnatiello
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: La Torre
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Masi
authors.affiliation: Unit of General Surgery, Azienda Sanitaria Locale di Foggia, "San Camillo De Lellis" Hospital, Via Isonzo, 71043 Manfredonia, Foggia Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Ciavarella
keywords: Appendicitis; Femoral hernia; Incarceration; de Garengeot’s hernia