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  • 1 Semmelweis Egyetem, I. sz. Sebészeti Klinika, , 1082 Budapest Üllői u. 78.
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Összefoglaló. Esetismertetések: 66 éves nő vizsgálatai irreponibilis fájdalmas inguinalis terime miatt kezdődtek. Ultrahangvizsgálat során a panaszok hátterében femoralis sérvben kizárt gangraenás appendix vermiformis igazolódott. Inguinalis metszésből appendectomiát és hernioplasticát végeztünk. Posztoperatív szövődménye nem volt, szövettana appendicitist igazolt. Pár héttel később egy 76 éves, több társbetegséggel rendelkező férfi fájdalmas, sercegő gangraenás, jobb inguinalis terime miatt került átvételre. CT-vizsgálat femoralis sérvbe kizárt abscedáló appendix vermiformist ábrázolt. Inguinalis metszésből, illetve alsó median laparotomiából a féregnyúlványt a hasüregbe reponáltuk, majd appendectomia és inguinalis necrectomia történt. Posztoperatív adhéziós ileus és hasfali disruptio miatt egy alkalommal reoperáltuk, adhaesiolysist és hasfali resuturát végeztünk. Ezt követően lágyéki sebén negatív nyomásos sebkezelést alkalmaztunk, a beteget a 22. napon otthonába bocsájtottuk. Az appendix szövettana low grade mucinosus neoplasiát igazolt. Megbeszélés: A femoralis sérvbe szorult appendix vermiformis de Garengeot-sérvként ismeretes, extrém ritka incidenciájú sérvtípus, ennél is ritkább az appendix mucinosus neoplásiájával szövődő variánsa. E sérv klinikai megjelenése széles spektrumon mozoghat, pontos preoperatív diagnózisa CT-vizsgálat nélkül kifejezetten nehéz. A műtéti megoldásra többféle lehetőség választható, mely nagyban függ az esetleges komplikációktól, a rendelkezésre álló eszközöktől, az intraoperatív lelettől, valamint az operáló sebész jártasságától.

Summary. Case reports: a 66-year-old woman was admitted to our Department due to a painful inguinal lump. During examinations an incarcerated femoral hernia was found with an inflamed vermiform appendix inside the hernial sac. Appendectomy and femoral hernioplasty was performed from inguinal approach. The patient was discharged home without complications. Pathological examinations of the specimen showed signs of acute appendicitis. A few weeks later a 76-year-old man with severe comorbidities was admitted to our unit due to painful gangraenous inguinal skin lesion. CT scan showed an incarcerated femoral hernia containing the appendix with subcutaneous abscess. Appendectomy, hernioplasty, and inguinal necrosectomy was performed from an inguinal and low median approach. Another operation was necessary due to postoperative obstruction and subcutaneous dehiscence. After intraabdominal adhaesiolysis and abdominal wall reconstruction negative pressure wound therapy was applied to the inguinal wound, the patient was discharged 22 days after the primary operation. Pathological examinations of the appendix showed low grade mucinous neoplasm. Discussion: The femoral hernia containing the appendix is called de Garengeot’s hernia and is one of the rarest types of inguinofemoral hernias. The clinicopathology of this type of hernia can cover a wide range of symptoms. The definitive preoperative diagnosis is relatively difficult to find without a CT-scan. The surgical approach and treatment depends on the manifestation, clinical findings and on the available equipment and the expertise of the surgeon.

  • 1

    Patoulias D, Kalogirou M, Patoulias I: Amyand’s hernia: an up-to-date review of the literature. Acta Medica (Hradec Kralove) 2017; 60: 131–134.

  • 2

    Akopian G, Alexander M: De Garengeot hernia: appendicitis within a femoral hernia. Am Surg 2005; 71: 526–527.

  • 3

    Linder S, Linder G, Mansson C: Treatment of De Garengeot’s hernia: a meta-analysis. Hernia 2019; 23: 131–141.

  • 4

    Salkade PR, Chung AYF, Law YM: De Garengeot’s hernia: an unusual right groin mass due to acute appendicitis in an incarcerated femoral hernia. Hong Kong Med J 2012; 18: 442–445.

  • 5

    Nayak IN: Malignant mucocele of the appendix in a femoral hernia. Postgrad Med J 1974; 50: 246–249.

  • 6

    Turaga KK, Pappas S, Gamblin TC: Right hemicolectomy for mucinous adenocarcinoma of the appendix: just right or too much? Ann Surg Oncol 2013; 20: 1063–1067.

  • 7

    Bijelic L, Kumar AS, Stuart OA, Sugarbaker PH: Systemic chemotherapy prior to cytoreductive surgery and hipec for carcinomatosis from appendix cancer: Impact on perioperative outcomes and short-term survival. Gastroenterol Res Pract 2012; 2012: 163284.

  • 8

    Glasgow SC, Gaertner W, Stewart D, Davids J, Alavi K, Paquette IM, Steele SR, Feingold DL: The American Society of Colon and Rectal Surgeons, Clinical Practice Guidelines for the Management of Appendiceal Neoplasms. Dis Colon Rectum 2019; 62: 1425–1438.

  • 9

    Kalles V, Mekras A, Mekras D, Papapanagiotou I, Al-Harethee W, Sotiropoulos G, Liakou P, Kastania A, Piperos T, Mariolis-Sapsakos T: De Garengeot’s hernia: a comprehensive review. Hernia 2013; 17: 177–182.

  • 10

    Ying L, Yahng JJ: The rare case of De Garengeot hernia: femoral hernia containing perforated appendicitis. J Surg Case Rep 2019; 11: rjz287.

  • 11

    Comman A, Gaetzschmann P, Hanner T, Behrend M: De Garengeot hernia: transabdominal preperitoneal hernia repair and appendectomy. JSLS 2007; 11: 496–501.

  • 12

    Klipfel A, Venkatasamy A, Nicolai C, Roedlich MN, Veillon F, Brigand C, Rohr S, Romain B: Surgical management of a De Garengeot’s hernia using a biologic mesh: A case report and review of literature. Int J Surg Case Rep 2017; 39: 273–275.

  • 13

    Ramsingh J, Ali A, Cameron C, Al-Ani A, Hodnett R, Chorushyj C: De Garengeot’s hernia: diagnosis and surgical management of a rare type of femoral hernia. J Surg Case Rep 2014; 2014: rju008.

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Magyar Sebészet
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