KMID : 1141920210370000055
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Annals of Coloproctology 2021 Volume.37 No. 0 p.55 ~ p.57
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De Garengeot¡¯s Hernia Treated With a Hybrid Approach: A Case Report
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Alkashty Mohamed
Dickinson Ben Tebala Giovanni D.
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Abstract
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De Garengeot¡¯s hernia happens when an inflamed or ischemic appendix is located within an incarcerated femoral hernia. We hereby report a case of De Garengeot¡¯s hernia treated with a combined open and laparoscopic approach. An 80-year-old male presented to the emergency department with a 1-day history of a tender right inguinal mass. A computed tomography scan revealed a direct right inguinal hernia containing an incarcerated appendix. At surgery, the diagnosis of a strangulated appendix within a femoral hernia was made. To avoid a wide disruption of the right groin region, the ischemic appendix was reduced into the abdomen and removed laparoscopically. The femoral defect was treated by open plug repair. De Garengeot¡¯s hernia may represent a surgical challenge. A combined open and laparoscopic approach is a good option in these cases.
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KEYWORD
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Femoral hernia, Appendicitis, De Garengeot¡¯s hernia
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