Two Cases of de Garengeot's Hernia

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  • De Garengeot herniaの2例
  • 症例 De Garengeot herniaの2例
  • ショウレイ De Garengeot hernia ノ 2レイ

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The incarceration of the vermiform appendix within a femoral hernia is a rare entity. It is called de Garengeot's hernia and has rarely been reported in Japan. This paper deals with two cases of de Garengeot's hernia with a review of the literature.<BR>Case 1 involved a 93-year-old woman who presented to our hospital because of a gradually enlarging right inguinal bulge. Following ultrasonography and contrast-enhanced CT scan, incarceration of the vermiform appendix within a right femoral hernia was diagnosed and an emergency operation was performed. Laparoscopy-assisted surgery was initiated, but the incarceration was irreducible. After transected the appendix at its base, we converted to the inguinal method, removed the appendix, and repaired the hernia by using UHS® mesh. Case 2 involved a 38-year-old man complaining of lower abdominal pain who was referred to our hospital with a suspicion of incarcerated inguinal hernia. A simple abdominal CT scan offered a diagnosis of incarceration of the appendix vermiform within a right femoral hernia. Emergency operation was performed on the same day. We selected to approach via the inguinal method, resected the appendix and repaired by McVay method. Both two patients have not experienced either postoperative complication or recurrence of hernia.

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