A case of de Garengeot hernia with abscess treated by TAPP procedure after laparoscopic appendectomy Keisuke NONOYAMA 1 , Kenichi NAKAMURA 1 , Hidehiko KITAGAMI 1 , Shiro FUJIHATA 1 , Takahiro WATANABE 1 , Moritsugu TANAKA 1 1Department of Surgery, Kariya Toyota General Hospital Keyword: de Garengeot hernia , TAPP法 , 虫垂嵌頓 pp.261-267
Published Date 2015/5/15
DOI https://doi.org/10.11477/mf.4426200132
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 An 84-year-old man visited our hospital complaining of right inguinal pain lasting for three days. The blood examination showed high inflammatory reaction. An abdominal ultrasonography and abdominal enhanced computed tomography(CT) scans revealed incarcerated appendix in the right femoral hernia. The patient was diagnosed as having de Garengeot hernia and emergency laparoscopic surgery was performed. Intraoperative findings showed abscess in the femoral hernia sac, therefore, laparoscopic appendectomy was performed. One month later, transabdominal preperitoneal hernia repair(TAPP) was performed. The incarcerated appendix in the femoral hernia, de Garengeot hernia, is a rare clinical condition. Its treatment, especially for those accompanying appendicitis, is controversial. Here, we report a case of de Garengeot hernia with abscess that was treated by TAPP procedure subsequent to laparoscopic appendectomy.

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