A Case of De Garengeot Hernia With Associated Appendiceal Inflammation.

Abstract

A De Garengeot hernia describes the rare occurrence of an appendix located within a femoral hernia sac. An incidence of appendiceal inflammation associated with a De Garengeot hernia is an even rarer surgical finding. A woman in her 70s presented to a district general hospital with a two-week history of a mildly tender right-sided groin lump. This lump was diagnostically confirmed by a computed tomography (CT) scan to be a De Garengeot hernia with associated appendiceal inflammation. The patient was managed surgically with a combined laparoscopic appendectomy, followed by an open low-approach herniorrhaphy. Primary suture repair of the femoral ring was performed due to concerns about contamination and mesh-related infection. This case highlights the diagnostic challenges associated with groin hernias containing atypical contents. Additionally, it stresses the importance of considering secondary appendiceal inflammation due to mechanical factors and compression, instead of infective processes, in cases of groin hernias with atypical symptomology.