Intestinal occlusion secondary to De Garengeot’s hernia resolved by laparoscopy

Abstract

Introduction: Femoral hernias constitute a minority of abdominal wall hernias and an entrapment of the appendix in the femoral hernia is called Garengeot's hernia. Case report: A 93-year-old woman was admitted to the emergency department of our hospital presenting abdominal pain accompanied by intestinal occlusion. She underwent laparoscopy for a diagnosis of femoral hernia with inflamed cecal appendix inside, with an adequate postoperative period. Discussion: The incidence of De Garengeot hernia is approximately 0.1-5% of reported femoral hernias and 0.1% of acute appendicitis. Conclusion: Despite this uncommon pathology, emergency surgical treatment is generally required, and the laparoscopic approach is the best option as long as the patient's condition and the surgeon's experience allow it.