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Case Reports: Rare disease
Management of appendicitis in a De Garengeot hernia: Lockwood approach
  1. Benjamin Julien1,
  2. Yeqian Huang1,2,3,
  3. Wei Ling Ooi1 and
  4. Matthew Beck1
  1. 1Department of General Surgery, Wollongong Hospital, Wollongong, NSW, Australia
  2. 2The University of Sydney, Sydney, New South Wales, Australia
  3. 3University of New South Wales, Sydney, New South Wales, Australia
  1. Correspondence to Dr Matthew Beck; drmattbeck46{at}gmail.com

Abstract

A De Garengeot hernia is a femoral hernia containing the vermiform appendix. This extremely rare hernia is associated with appendicitis and the risk of perforation and abscess formation. Given limited data, it poses both diagnostic and management difficulties. While management is generally surgical, questions remain about the best operative approach, indications for appendicectomy and optimum hernia repair technique. We describe a case of acute appendicitis within a De Garengeot hernia that was managed with an open appendicectomy via a Lockwood incision. This case helps to illustrate the management considerations present for this rare clinical pathology and describes a method to effectively identify the hernia and resect the appendix.

  • General surgery
  • Surgery

https://doi.org/10.1136/bcr-2021-247010

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    Footnotes

    • Contributors BJ—conception and design, conducting literature review, drafting the article, final approval of the version published. YH—conception and design, conducting literature review, critically evaluate the manuscript, final approval of the version published. WLO—conception and design, critically evaluate the manuscript, final approval of the version published. MB—conception and design, critically evaluate the manuscript, final approval of the version published.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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