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De Garengeot hernia associated with perforated appendicitis: A rare case report
2017
Journal:  
Archives of Clinical and Experimental Medicine
Author:  
Abstract:

De Garengeot hernisi, 1731 yılında Fransız bir cerrah olan Rene Jacques Croissant de Garengeot tarafından femoral herni kesesi içinde apendiks vermiformisin olması şeklinde tanımlanmış bir herni şeklidir. Literatürde 100’den az vaka bildirilmiştir. Genellikle operasyon esnasında tanı alan bu vakaların preoperatif olarak bilgisayarlı tomografi ile tanı alması literatürde daha da nadirdir. Bu makalede karın ağrısı ile acil servise başvurarak bilgisayarlı tomografi ile preoperatif olarak De Garengeot hernisi tanısı alan bir hastanın sunulması amaçlanmıştır. Laparaskopik yaklaşımla femoral kanalda perfore apandisit izlenmiş ve apendektomi uygulanmıştır. Cerrahi tedavi açısından apendiksin akut enflame olup olmamasına, perforasyon/apse varlığına, cerrahi yaklaşım yeri tercihine ve apendektomi ile fıtık onarımının eş zamanlı olup olmamasına göre farklı tedavi seçenekleri mevcuttur. Bizim olgumuzda laparoskopik apendektomi yapılmış, herni onarımı ikinci bir operasyona bırakılarak apendektomi ile birlikte drenaj ile yetinilmiştir.

Keywords:

De Garengeot hernia associated with perforated appendicitis: A rare case report
2017
Author:  
Abstract:

De Garengeot hernia is a form of hernia defined by a French surgeon in 1731 by Rene Jacques Croissant de Garengeot in the form of apendix vermiformis in the femoral hernia cut. More than 100 cases have been in literature. Often these cases diagnosed during surgery are even more rare in literature to be diagnosed preoperatively with computer tomography. This article aims to present a patient with de Garengeot hernia preoperatively diagnosed with computer tomography by applying to emergency service with pain in the abdomen. Laparascopic approach observed perfore apandicitis in the femoral channel and appendectomy was applied. In terms of surgery, there are different treatment options depending on whether apendixin is an acute inflammation or not, the presence of perforation/apse, the preference of the location of the surgical approach and whether apendectomy and the repair of the sputum are simultaneous or not. In our case, laparoscopic apendectomy was done, the herni repair was left to a second operation with apendectomy and was satisfied with drainage.

Keywords:

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Archives of Clinical and Experimental Medicine

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Article : 198
Cite : 10
Archives of Clinical and Experimental Medicine