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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
ROMERO, Ana et al. Garengeot’s hernia and review of variants of incarcerated hernias. rev. colomb. cir. [online]. 2022, vol.37, n.1, pp.122-128. Epub Mar 20, 2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.893.
Introduction.
Garengeot’s hernia is characterized by containing the cecal appendix within the femoral sac, and is part of a variety of hernias that receive their eponymous according to their anatomical location. These include Richter’s hernia, Amyand’s hernia, Littré’s hernia, and Spiegel’s hernia. We present a review of the laparoscopic approaches for these variants.
Clinical case.
An 82-year-old female patient consulted to the emergency department for right groin pain of eight days of evolution, associated with symptoms of intestinal obstruction. With a diagnosis of incarcerated inguinal hernia, she underwent surgery finding a Garengeot´s hernia.
Discussion.
In addition to the traditionally known types of hernia, there are unusual variants of hernias of the abdominal wall, which must be suspected and taken into account as a differential diagnosis, which will allow treatment to be carried out in a timely manner, reducing the risk of intestinal perforation.
Conclusions.
Variants of inguinal hernia or unusual location are susceptible to surgical treatment by laparoscopic approaches with adequate results.
Keywords : hernia; Garengeot; appendicitis; obstruction; laparoscopy.