Ulus Travma Acil Cerrahi Derg. 2013; 19(4): 380-382 | DOI: 10.5505/tjtes.2013.37043

De Garengeot’s hernia: a case of acute appendicitis in a femoral hernia sac

Ceren Þen Tanrýkulu¹, Yusuf Tanrýkulu², Nezih Akkapulu^3
1Emergency Department, Erzurum Area Training And Research Hospital, Erzurum, Turkey
²2nd General Surgery Department, Erzurum Area Training And Research Hospital, Erzurum, Turkey
³Department Of General Surgery, Muþ State Hospital, Muþ, Turkey

The presence of an appendix vermiformis in a femoral hernia sac is called De Garengeot’s hernia. It is a very rare clinical condition and requires emergency surgery. However, preoperative diagnosis of De Garengeot’s hernia is difficult. Herein, we report a 58-year-old female who presented with sudden-onset painful swelling in the right groin region. Diagnosis was established based on computed tomography findings, and appendectomy with meshfree hernia repair was performed. The postoperative period was uneventful, and the histopathologic examination of the specimen revealed gangrenous appendicitis.

Keywords: Appendicitis, De Garengeot’s hernia; femoral hernia; hernia.

---

De Garengeot fýtýðý: Femoral fýtýk kesesi içinde bir akut apandisit olgusu

Ceren Þen Tanrýkulu¹, Yusuf Tanrýkulu², Nezih Akkapulu^3
1Erzurum Bölge Eðitim Ve Araþtýrma Hastanesi, Acil Týp Kliniði, Erzurum
²Erzurum Bölge Eðitim Ve Araþtýrma Hastanesi, 2. Genel Cerrahi Kliniði, Erzurum
³Muþ Devlet Hastanesi, Genel Cerrahi Kliniði, Muþ

Femoral fýtýk kesesi içerisinde apendiksin bulunmasý de Garengeot fýtýðý olarak adlandýrýlýr. Bu klinik durum, oldukça nadir görülen ve acil cerrahi giriþim gerektiren bir klinik durumdur ve De Garengeot fýtýðý tanýsýnýn ameliyat öncesi konulmasý oldukça zordur. Bu yazýda sunulan olgu sað kasýk bölgesinde aniden baþlayan aðrýsý olan 58 yaþýnda kadýn hastadýr. Taný, bilgisayarlý tomografi bulgularý ile konuldu ve apendektomiyle birlikte greftsiz fýtýk onarýmý uygulandý. Ameliyat sonrasý komplikasyon geliþmedi. Histopatolojik inceleme gangrenli apandisit ile uyumluydu.

Anahtar Kelimeler: Apandisit, De Garengeot fýtýðý; femoral fýtýk; fýtýk.

---

CITE