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

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.

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

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.