title: Treatment of De Garengeot's hernia using De Oliveira's technic: A case report and review of literature.
abstract: BACKGROUND
  The French surgeon Rene Jacques Croissant de Garengeot first described the finding of the Appendix inside a femoral hernia sac in 1731. The De Garengeot's hernia is a rare entity, comprehending only 0.5-5% of the femoral hernias. The pathogenesis of this entity is still controversial, and in the same way, there are different theories to explain the occurrence of appendicitis inside the De Garengeot's hernia. There is no standard technique in the treatment of this entity.
  
  
  METHODS
  W.P.S., 84, female, admited for medical assistance due to claims of edema and flogistic signs in the right inguinal region, noted four days prior. There was no abdominal pain, discomfort, or other symptoms. The physical examination showed hard edema and bulging on the right inguinal region, colaborating for the hipotesis of incarcerated hernia. Patient was then submitted to inguinotomy and the vermiform Appendix was discovered inside the femoral hernia without signs of appendicitis. The case was conducted using the De Oliveira's technique to femoral hernia repair and Liechenstein for the inguinal hernia repair.
  
  
  CONCLUSIONS
  The De Garengeot's hernia is a rare entity, comprehending only 0.5-5% of the femoral hernias(2), it represents an unusual finding and is, in the majority of cases, diagnosed intraoperatively. It's pathogenesis is yet matter of discution. There is no standard approach for this hernia, possibly by the few numbers and variability of presentation of cases described.
  
  
  CONCLUSIONS
  This paper presents a case of a 84yo female with De Garengeot's hernia that was submitted to a correction using the De Oliveira's technic. A low cost technic with great results without use of polypropylene mesh.
authors: Hospital Felício Rocho, Av do Contorno 9530, 30110-130 Belo Horizonte, MG, Brazil.
authors: Heros Souza
authors: HS
authors: Couto
authors: Hospital Felício Rocho, Av do Contorno 9530, 30110-130 Belo Horizonte, MG, Brazil.
authors: Luiza Ohasi
authors: LO
authors: de Figueiredo
authors: Hospital Felício Rocho, Av do Contorno 9530, 30110-130 Belo Horizonte, MG, Brazil.
authors: Renata Castro
authors: RC
authors: Meira
authors: Hospital Felício Rocho, Instituto de Ensino e Pesquisa da Santa Casa de Misericórdia de Belo Horizonte, Av do Contorno 9530, 30110-130, Brazil.
authors: Thiago
authors: T
authors: de Almeida Furtado
authors: Hospital Felício Rocho, Instituto de Ensino e Pesquisa da Santa Casa de Misericórdia de Belo Horizonte. Av do Contorno 9530, 30110-130 Belo Horizonte, MG, Brazil. Electronic address: luizronaldoa@yahoo.com.br.
authors: Luiz Ronaldo
authors: LR
authors: Alberti
authors: Hospital Felício Rocho, Instituto de Ensino e Pesquisa da Santa Casa de Misericórdia de Belo Horizonte. Av do Contorno 9530, 30110-130 Belo Horizonte, MG, Brazil.
authors: Diego Paim Carvalho
authors: DP
authors: Garcia
authors: Hospital Felício Rocho, Faculdade de Medicina da Universidade Federal de Minas Gerais, Adjunct Professor at Faculdade de Ciências Médicas de Minas Gerais, Alameda Ezequiel Dias, 275, 30130-110 Belo Horizonte, MG, Brazil.
authors: Antônio Sérgio
authors: AS
authors: Alves
authors: Hospital Felício Rocho, Surgical Technique at Faculdade de Ciências Médicas de Minas Gerais, Av do Contorno 9530, zip code 30110-130, Belo Horizonte, MG, Brazil.
authors: Claudio Almeida
authors: CA
authors: de Oliveira
keywords: Femoral hernia; Garengeot hernia