Appendicitis and Meckel’s diverticulum in a femoral hernia: simultaneous De Garengeot and Littre’s hernia

Abstract

This report presents the case of a 73-year-old woman who was admitted with sepsis, cachexia and confusion secondary to a strangulated femoral hernia containing both the appendix (De Garengeot hernia) and a Meckel's diverticulum (Littre's hernia). She underwent successful operative management and was discharged from hospital on the 10th post-operative day. This is the first report in the literature of a combined De Garengeot and Littre's hernia within a femoral hernia sac.

A combined Richter's and de Garengeot's hernia

“…There have been case reports of hernia sac containing more than one structure such as combined appendix and Meckel's diverticulum, or jejunum and uterus with ovaries. 9,10 To our knowledge however, this is the first case report of a combined de Garengeot's and Richter's hernia, illustrated in Fig. 2 .…”

The Role of Minimally Invasive Surgery in Appendectomy Within a Hernia

“…Rene Jacques Croissant de Garengeot, a French surgeon, was the first to describe the presence of the appendix inside an incarcerated femoral hernia in 1731 [ 4 ]. As previously mentioned, this type of hernia is rare in that it has fewer than 100 cases reported in the literature with its incidence varying between 0.5% and 5% of all femoral hernias [ 5 ]. Patients may present with fever, signs and symptoms that suggest an acute abdomen caused by obstruction, and laboratory studies may show non-specific results [ 6 ].…”

Littré meets de garengeot: meckel’s diverticulum and appendix in a femoral hernia

“…Indeed, to our knowledge, this is only the second such reported case in the literature (the other being published in 2012). 7 Given the rarity of these two conditions, compared with that of an inguinal or femoral hernia, these are often incidental findings at surgery and not investigated for prior to surgery.…”