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Intestinal occlusion secondary to De Garengeot’s hernia resolved by laparoscopy


MOJ Surgery
Xicohténcatl Xicohténcatl Carlos Emmanuel,1 Signoret Limiñana Natalie,2 Eduardo Navarro Pedroza,2 Garcia Cabrera Daniel,2 Gallardo Navarro Elias2

Abstract

Introduction: Femoral hernias constitute a minority of abdominal wall hernias and an entrapment of the appendix in the femoral hernia is called Garengeot’s hernia. Case report: A 93-year-old woman was admitted to the emergency department of our hospital presenting abdominal pain accompanied by intestinal occlusion. She underwent laparoscopy for a diagnosis of femoral hernia with inflamed cecal appendix inside, with an adequate postoperative period. Discussion: The incidence of De Garengeot hernia is approximately 0.1-5% of reported femoral hernias and 0.1% of acute appendicitis. Conclusion: Despite this uncommon pathology, emergency surgical treatment is generally required, and the laparoscopic approach is the best option as long as the patient’s condition and the surgeon’s experience allow it. 

Keywords

cecal appendix, garengeot’s hernia, laparoscopy, abdominal pain, appendicitis, femoral hernia

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