Savas BAYRAK, Cihad TATAR, Ekrem CAKAR, Mert Mahsuni SEVİNC, Erdem KİNACİ, Abdulkerim OZAKAY, Acar AREN

De Garengeot's hernia in a 72-year-old man: A case report

De Garengeot's hernisi femoral kanalda appendiksin bulunduğu çok nadir görülen bir herni tipidir. Bu yazımızda 72 yaşında erkek hastada saptadığımız De Garengeot's hernisini paylaşmayı amaçladık. 72 yaşında erkek hasta 2 gündür olan sağ kasık ağrısı ve şişlik şikayetleri ile acil servise başvurdu. Yapılan fizik muayene ve tetkikler neticesinde inkarsere inguinal herni öntanısı ile opere edildi. Operasyon esnasında De Garengeot's hernisi olduğu saptandı. Appendektomi uygulandı. Ardından femoral kanala Mc Vay Onarım yapılıp plug mesh konuldu. Postoperatif dönemde klinik ve laboratuar olarak stabil seyreden hastanın gaz gaita deşarjı oldu. Postoperatif 2. günde önerilerle taburcu edildi. Patoloji sonucu akut apandisit ile uyumlu saptandı. Sonuç olarak kasıkta ağrılı kitle şikayeti ile gelen bir hastada çok nadir de olsa femoral herni kesesinde akut apandisit olabileceği akılda tutulmalıdır. Gerekli cerrahi girişimler ivedilikle yapılarak mortalite ve/veya morbidite riski azaltılmalıdır

72 yaşında erkek hastada De Garengeot's hernisi: Olgu sunumu

De Garengeot hernia is a very rare type of hernia. In this type of hernia, the appendix is found within the femoral canal. In this article, we aimed to share De Garengeot hernia which was diagnosed in a 72-year-old male patient. The patient was admitted to the emergency department with the complaints of right groin pain and swelling for 2 days. The patient was operated with a preliminary diagnosis of an incarcerated inguinal. De Garengeot hernia was detected during the operation. The patient underwent appendectomy. Then McVay procedure was performed and a mesh plug was placed in the femoral canal. Consequently, although it is very rare, it should be kept in mind that there may be an acute appendicitis within femoral hernia sac in a patient presenting with a painful mass in the groin.The necessary surgical procedure should be done immediately in order to reduce the risk of mortality and/or morbidity

PDF

___

1.De Garengeot RJC. Traite des operations de chirurgie. 2nd edn. Paris: Huart, 1731;369-71.
2.Rajan SS, Girn HR, Ainslie WG: Inflamed appendix in a femoral hernial sac: de Garengeot's hernia. Hernia 2009;13(5):551-3.
3.Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia 2006;10(2):152-5.
4.Caygill P, Nair R, Sajjanshetty M, Francis D. An unusual groin exploration: De Garengeot's hernia. Int J Surg Case Rep 2011;2(5):74-5.
5.V. Kalles, A.Mekras, D. Mekras D, Papapanagiotou I, Al-Harethee W, Sotiropoulos G, et al. De Garengeot's hernia: a comprehensive review. Hernia 2013;17(2):177-82.
6.Sharma H, Jha PK, Shekhawat NS, Memon B, Memon MA. De Garengeot hernia: an analysis of our experience. Hernia 2007;11(3):235-8.
7.D'Ambrosio N, Katz D, Hines J. Perforated appendix within a femoral hernia. AJR Am J Roentgenol 2006;186(3):906-7.
8.Nguyen ET, Komenaka IK. Strangulated femoral hernia containing a perforated appendix. Can J Surg 2004;47(1):68-9.
9.Rao PM, Rhea JT, Novelline RA, Mostafavi AA, McCabe CJ. Effect of computed tomography of the appendix on treatment of patients and use of hospital resources. N Engl J Med 1998;338(3):141-6.
10.Halpenny D, Barrett R, O'Callaghan K, Eltayeb O, Torreggiani WC. The MRI findings of a de Garengeot hernia. Br J Radiol 2012;85(1011): e59-e61.
11.Konofaos P, Spartalis E, Smirnis A, Kontzoglou K, Kouraklis G. De Garengeot's hernia in a 60-year-old woman: a case report. J Med Case Rep 2011;30:258.
12.Thomas B, Thomas M, McVay B, Chivate J. De Garengeot hernia JSLS 2009;13:455-7.
13.Ahmed K, Bashar K, McHugh TJ, McHugh SM, Kavanagh E. Appendicitis in De Garengeot's Hernia Presenting as a Nontender Inguinal Mass: Case Report and Review of the Literature. Case Rep Surg 2014;2014:932638
14.Tatar C, Tuzun IS, Karsidag T, Kizilkaya MC, Yilmaz E. Prostetic mesh repair for incarcerated inguinal hernia. Balkan Med J 2016;33:434-40.