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Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports

BACKGROUND: Emergency appendectomy is often performed for de Garengeot hernia. However, in some cases, there may be a chance to perform an appendix-preserving elective surgery. CASE DESCRIPTION: A 76-year-old woman presented to our hospital with complaints of a right inguinal swelling, which we diag...

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Detalles Bibliográficos
Autores principales: Imataki, Hiromitsu, Miyake, Hideo, Nagai, Hidemasa, Yoshioka, Yuichiro, Shibata, Koji, Kambara, Yuichi, Yuasa, Norihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608983/
https://www.ncbi.nlm.nih.gov/pubmed/34807319
http://dx.doi.org/10.1186/s40792-021-01329-x
Descripción
Sumario:BACKGROUND: Emergency appendectomy is often performed for de Garengeot hernia. However, in some cases, there may be a chance to perform an appendix-preserving elective surgery. CASE DESCRIPTION: A 76-year-old woman presented to our hospital with complaints of a right inguinal swelling, which we diagnosed as a de Garengeot hernia using computed tomography (CT). B-mode ultrasonography (US) of the mass showed an appendix 4–6 mm in diameter with a clear wall structure; color Doppler US showed pulsatile blood flow signal in the appendiceal wall. Twenty-eight days later, herniorrhaphy with transabdominal preperitoneal repair (TAPP) was performed without appendectomy. Another 70-year-old woman presented to our hospital with complaints of a painful bulge in the right inguinal region. The diagnosis of de Garengeot hernia was made using CT. B-mode US showed an appendix 5 mm in diameter with a clear wall structure. Color Doppler US showed a pulsatile blood signal in the appendiceal wall. Seven days later, herniorrhaphy with TAPP was performed without appendectomy. CONCLUSION: De Garengeot hernia is often associated with appendicitis; however, an appendix-preserving elective herniorrhaphy can be performed if US and intraoperative findings do not suggest appendicitis or circulatory compromise in the appendix. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40792-021-01329-x.