Abstract：
BACKGROUND: A De Garengeot hernia is defined as a femoral hernia containing the appendix. They are rare, representing 0.5-5 % of all femoral hernias.
METHODS: A sixty-five-year-old lady presented to the emergency department with a five-day history of right sided groin swelling and pain. She was an active smoker. Her workup included a computed tomography scan of her abdomen and pelvis which revealed a right sided femoral hernia containing the appendix. A laparoscopic appendicectomy and an open repair of femoral hernia with a mesh plug was performed. Intraoperatively, the distal appendix was seen to be incarcerated within the hernia sac. The histopathology confirmed acute appendicitis.
CONCLUSIONS: The increasing use of computed tomography scanning allows preoperative diagnosis of De Garengeot hernia. There is no standardized method for managing a De Garengeot hernia. The surgical technique used should be the one with which the surgeon is most comfortable. The decision to use a mesh to repair the hernia defect is based on the level of contamination in the field.
CONCLUSIONS: De Garengeot hernias are rare. They should be treated with appendicectomy and repair of the femoral hernia, at present there is no standardized approach and the surgeon should perform the method with which they are most comfortable.
METHODS: A sixty-five-year-old lady presented to the emergency department with a five-day history of right sided groin swelling and pain. She was an active smoker. Her workup included a computed tomography scan of her abdomen and pelvis which revealed a right sided femoral hernia containing the appendix. A laparoscopic appendicectomy and an open repair of femoral hernia with a mesh plug was performed. Intraoperatively, the distal appendix was seen to be incarcerated within the hernia sac. The histopathology confirmed acute appendicitis.
CONCLUSIONS: The increasing use of computed tomography scanning allows preoperative diagnosis of De Garengeot hernia. There is no standardized method for managing a De Garengeot hernia. The surgical technique used should be the one with which the surgeon is most comfortable. The decision to use a mesh to repair the hernia defect is based on the level of contamination in the field.
CONCLUSIONS: De Garengeot hernias are rare. They should be treated with appendicectomy and repair of the femoral hernia, at present there is no standardized approach and the surgeon should perform the method with which they are most comfortable.
摘要：
背景：DeGarengeot疝被定义为包含阑尾的股疝。它们是罕见的，占所有股疝的0.5-5%。
方法：一位65岁的女士到急诊科就诊，有5天的右侧腹股沟肿胀和疼痛病史。她是一个活跃的吸烟者。她的检查包括腹部和骨盆的计算机断层扫描扫描，显示右侧股疝包含阑尾。进行了腹腔镜阑尾切除术和带网塞的股疝开放修补术。术中,发现远端阑尾嵌顿在疝囊内。组织病理学证实为急性阑尾炎。
结论：越来越多地使用计算机断层扫描可以在术前诊断DeGarengeot疝。没有管理DeGarengeot疝的标准化方法。所使用的手术技术应该是外科医生最舒适的技术。使用网片修复疝缺损的决定是基于现场的污染水平。
结论：DeGarengeot疝罕见。他们应该接受阑尾切除术和股疝修补术，目前没有标准化的方法，外科医生应该执行最舒适的方法。
方法：一位65岁的女士到急诊科就诊，有5天的右侧腹股沟肿胀和疼痛病史。她是一个活跃的吸烟者。她的检查包括腹部和骨盆的计算机断层扫描扫描，显示右侧股疝包含阑尾。进行了腹腔镜阑尾切除术和带网塞的股疝开放修补术。术中,发现远端阑尾嵌顿在疝囊内。组织病理学证实为急性阑尾炎。
结论：越来越多地使用计算机断层扫描可以在术前诊断DeGarengeot疝。没有管理DeGarengeot疝的标准化方法。所使用的手术技术应该是外科医生最舒适的技术。使用网片修复疝缺损的决定是基于现场的污染水平。
结论：DeGarengeot疝罕见。他们应该接受阑尾切除术和股疝修补术，目前没有标准化的方法，外科医生应该执行最舒适的方法。
