title: De Garengeot hernia with perforated appendicitis and a groin subcutaneous abscess: A case report.
abstract: BACKGROUND
  De Garengeot hernia is rare. Although previous reports have suggested various surgical options according to patient condition, comorbidities, surgeon preference, and clinical findings during surgery, a treatment strategy has not been established.
  
  
  METHODS
  An 81-year-old woman presented with an irreducible tender mass that was subsequently diagnosed as an incarcerated femoral hernia with a subcutaneous abscess in the right groin. Intraoperative findings revealed a necrotic and perforated appendix strangulated by the femoral ring for which an appendectomy and herniorrhaphy was performed concurrently through the hernia sac. The subcutaneous abscess cavity was washed thoroughly and a drainage tube was placed within it. The patient recovered uneventfully.
  
  
  CONCLUSIONS
  We suggest that the approach through the inguinal incision in both appendectomy and herniorrhaphy with drainage may be useful in avoiding intra-abdominal contamination in cases of de Garengeot hernia with subcutaneous abscess.
  
  
  CONCLUSIONS
  Here, we described a case of de Garengeot hernia with a subcutaneous abscess in the groin. Clinicians should consider de Garengeot hernia in patients with a groin hernia, make an early diagnosis, and promptly provide surgical treatment to reduce the risk of complications.
authors.affiliation: Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan; Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institution of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Mashima
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan. Electronic address: m-banshodani@tsuchiya-hp.jp.
authors.forename: Masataka
authors.initials: M
authors.lastname: Banshodani
authors.affiliation: Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nishihara
authors.affiliation: Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Nambu
authors.affiliation: Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kawaguchi
authors.affiliation: Department of Pathology, Faculty of Humanities and Human Science, Hiroshima Shudo University, Hiroshima, Japan.
authors.forename: Fumio
authors.initials: F
authors.lastname: Shimamoto
authors.affiliation: Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Kiyohiko
authors.initials: K
authors.lastname: Dohi
authors.affiliation: Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Keizo
authors.initials: K
authors.lastname: Sugino
authors.affiliation: Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institution of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohdan
keywords: Acute appendicitis; Appendectomy; De Garengeot hernia; Femoral hernia; McVay’s technique; Subcutaneous abscess