Complex de Garengeots Hernia With a Bladder Diverticulum

Abstract

De Garengeots hernia is a type of femoral hernia that also contains the appendix. It is a rare phenomenon and is diagnosed usually intraoperatively, during surgery aimed at reducing and repairing the symptomatic femoral hernia. In some cases the development of appendicitis can further complicate the clinical presentation. This paper presents a recent case of an incarcerated de Garengeots hernia containing both the cecal appendix and a voluminous bladder diverticulum. The purpose of this article is to highlight the importance of differential diagnosis in patients with a groin mass. The ability to correctly identify hernial content preoperatively can, in fact, modify the surgical approach taken and allow the operation to be performed more safely. There are currently no specific guidelines for its treatment, as there is no statistical evidence on the best management approaches and their outcomes. The authors of this paper present an ideal flow chart on how to deal with this particular type of hernia safely and effectively.

J Curr Surg. 2021;11(4):97-100
doi: https://doi.org/10.14740/jcs451