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De Garengeot hernia: a rare case in an elderly woman and a review of operative approaches
  1. Syaza Zainudin1,2,
  2. Firdaus Hayati1,
  3. Tharanrajh Arumugam2 and
  4. Kah Yee Ho2
  1. 1Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
  2. 2Department of Surgery, Duchess of Kent Hospital, Sandakan, Malaysia
  1. Correspondence to Dr Syaza Zainudin; zainudin.syz{at}


De Garengeot hernia is a rare finding of the vermiform appendix inside a femoral hernia sac. We report this occurrence in a 73-year-old woman who presented in the acute setting. There are no standardised surgical approaches and many different techniques have been described in case reports in the literature. We conducted a literature review of and found a total of 113 cases with addition of our case 114 unique cases were included for analysis. Inguinal incision was most cited (n=89). Concomitant laparotomy was needed in 13 patients, however, the association between type of incision and additional laparotomy was not significant (p>0.05). Laparoscopic surgery alone was performed in eight patients. Nine patients had hybrid surgery. The most common hernia repair was through suture technique with non-absorbable material (n=31). Mesh repair was used in 28 cases. More laparoscopic surgeries were done when the disease was diagnosed preoperatively (7/39, p<0.05).

  • general surgery
  • gastrointestinal surgery

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  • Contributors SZ, TA, KYH wrote the case presentation and prepared images to be included with the manuscript. SZ performed the literature review, statistical analysis and case discussion. FH, KYH assisted with literature review and discussion and reviewed the paper. All authors approved the version of the manuscript for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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