Appendicitis in De Garengeot Hernia: A Rare Presentation.

Autor:	Alkhalifa AA; General and Laparoscopic Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU., Alabbad M; General Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU., Alshahri HM; General Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU., Aljughaiman B; General Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU., Helal HF; General Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU., Al Omair AM; Radiology, King Fahad Hospital - Hofuf, Hofuf, SAU., Almohammedsaleh O; Radiology, King Fahad Hospital - Hofuf, Hofuf, SAU., Amro NM; General Surgery, New You Medical Center, Riyadh, SAU., Odeh AM; General and Laparoscopic Surgery, Al Ahsa Health Cluster, Al Ahsa, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 31; Vol. 16 (8), pp. e68352. Date of Electronic Publication: 2024 Aug 31 (Print Publication: 2024).
DOI:	10.7759/cureus.68352
Abstrakt:	De Garengeot hernia, a rare clinical entity characterized by the presence of the appendix within a femoral hernia sac, is a challenging condition often requiring prompt surgical intervention. Fewer than 100 cases have been reported in the literature containing appendicitis in de Garengeot hernia. We present a case of a 40-year-old female with a preoperatively diagnosed De Garengeot hernia with appendicitis. The patient presented with a painful and irreducible right groin swelling, and imaging revealed a femoral hernia containing an inflamed appendix. Urgent surgical intervention was undertaken, involving right femoral hernia repair and appendectomy. The surgical procedure, utilizing the infra-inguinal approach, proceeded uneventfully, with the patient recovering well postoperatively. De Garengeot hernia is a rare clinical presentation with no established treatment guidelines. Surgical management typically involves hernia repair and appendectomy, with the choice of repair method dependent on intraoperative findings. The use of prosthetic mesh in contaminated fields remains controversial, with considerations for infection risk and patient outcomes. Early diagnosis and appropriate surgical intervention are essential in managing De Garengeot hernia to prevent complications and ensure favourable patient outcomes. This case underscores the importance of recognizing and effectively treating this uncommon surgical condition. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Alkhalifa et al.)
Databáze:	MEDLINE
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