Rare presentation of De Garengeot hernia treated by transabdominal preperitoneal hernia repair: A case report

• Published in: Asian journal of endoscopic surgery Vol. 14; no. 3; pp. 578 - 581
• Main Authors: Fujiwara, Hisataka, Suto, Takayuki, Umemura, Akira, Tanahashi, Yota, Amano, Satoshi, Ikeda, Kenichiro, Harada, Kazuho, Sasaki, Akira
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01-07-2021; Wiley Subscription Services, Inc
• Subjects: Appendectomy; Case reports; De Garengeot; Hernias; Laparoscopy; transabdominal preperitoneal hernia repair
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.12891

We present a rare case of De Garengeot hernia treated with simultaneous laparoscopic appendectomy and transabdominal preperitoneal hernia repair. Our patient was an 85‐year‐old man with a bulging mass in the right groin. De Garengeot hernia was observed on contrast‐enhanced CT. Urgent laparoscopy showed the distal part of the appendix passing through a right‐sided femoral hernia. Laparoscopic appendectomy was performed, followed by transabdominal preperitoneal repair of the femoral hernia. Pathological examination revealed ischemic necrosis of the appendix. The patient's postoperative recovery was uneventful.