Pereyra-Talamantes A, Gallaga-Rojas MA, Rodríguez-Silverio JE, Vergara-Tamayo EA, Pérez-Morales OE, Canche-Zapata CA

Language: Spanish
References: 12
Page: 94-98
PDF size: 203.31 Kb.

ABSTRACT

Introduction: Garengeot's hernia is a rare pathology in which the cecal appendix is found within a femoral hernia, almost always in the context of acute appendicitis. In the literature there are few cases reported on surgical treatment with a laparoscopic approach. The purpose of this article is to demonstrate that the laparoscopic approach is possible when faced with this pathology. Case presentation: this is a 72-year-old female patient with no diseases and no surgical history who comes to the emergency department due to the presence of abdominal pain in the right iliac fossa without data of peritoneal irritation, laboratory studies with leukocytosis and neutrophilia, tomography of the abdomen and pelvis was performed, showing the 9 mm cecal appendix inside the femoral orifice, which corresponded to a Garengeot hernia. It was decided to perform surgical treatment consisting of laparoscopic appendectomy plus right femoral hernioplasty with a preperitoneal transabdominal technique and placement of preformed polypropylene mesh. The patient had a good postoperative course and was discharged 24 hours after hospital admission. Conclusions: in this case, the diagnostic approach and the surgical treatment with a laparoscopic approach of a Garengeot's hernia in a context of acute appendicitis were described.

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