De Garengeot hernia: a rare location of the appendix therapeutic approach

Abstract

De Garengeot hernia is defined as a femoral hernia containing the appendix. This report describes a 55-year-old female patient who presented with acute lower abdominal pain radiating to the right lower limb, persisting for 4 days. Physical examination revealed a flat, soft abdomen with tenderness in the lower right quadrant and an irreducible mass below the inguinal ligament. Abdominal ultrasonography demonstrated an irreducible right inguino-femoral hernia. The hernia sac contained free fluid and inflamed adipose tissue, as well as a blind-ending bowel loop.  The patient underwent hernia repair via an inguinal incision. A De Garengeot hernia was identified, with the femoral sac containing free fluid and the appendix, which had no signs of acute inflammation.
This is a rare condition, and the surgical approach for repairing the abdominal wall largely depends on the preoperative diagnosis, based on the progression of symptoms.