De Garengeot Hernia: A Total Extraperitoneal Approach to a Femoral Hernia Repair

Kaitlyn Oldewurtel, DO, John Ground, DO, Marc Neff, MD

Rowan University School of Osteopathic Medicine, Stratford, NJ. (Drs. Oldewurtel and Ground)
Jefferson Health New Jersey, Department of Surgery, Stratford, NJ. (Dr Neff)

Introduction: A de Garengeot’s hernia is a femoral herniacontaining the appendix and accounts for approximately 0.8% of all femoral hernias.

Presentation of the Case: This paper describes a case of an 84-year-old female who presented with abdominal pain, believed to have an incarcerated femoral hernia. Patient underwent a hernia repair and was found to have a femoral hernia involving the appendix, a de Garengeot’s hernia. The femoral hernia was repaired using a total extraperitoneal (TEP) approach.

Discussion: There are a variety of reported ways to repair a de Garengeot hernia. In this case, we discuss the successful use of the TEP approach to repairing a de Garengeot hernia.

Conclusion: Although rare, a de Garengeot hernia must remain on the differential when evaluating a patient for an incarcerated femoral hernia. A TEP approach provides the surgeon the ability to perform a variety of hernia repairs, regardless of what is encountered during the operation.

Key Words: De Garengeot hernia, Total Extraperitoneal, Femoral hernia, Acute appendicitis.

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