De Garengeot hernia with intestinal obstruction and appendiceal abscess in an elderly Peruvian patient: a case report - Takeaways - MDSpire
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A Case Study of De Garengeot Hernia Complicated by Intestinal Obstruction and Appendiceal Abscess in an Elderly Patient from Peru

  • By

  • Alvaro Veleto

  • Cesar Sapaico-Del-Castillo

  • Roberto Orta-Barriga

  • Mijail Vega-Barriga

  • Carla Cuya-Zevallos

  • August 12, 2026

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  • 1

    The De Garengeot hernia involves the vermiform appendix within a femoral hernia sac, occurring in 0.5–5% of femoral hernia cases.

  • 2

    Acute appendicitis within a De Garengeot hernia is rare, with an incidence of 0.08–0.13%, complicating preoperative diagnosis.

  • 3

    An 86-year-old woman presented with colicky abdominal pain, nausea, vomiting, and signs of dehydration after a recent inguinal abscess drainage.

  • 4

    Exploratory laparotomy revealed acute appendicitis with an appendiceal abscess, complicated by a De Garengeot hernia and intestinal obstruction.

  • 5

    Postoperative treatment included intravenous antibiotics, and the patient was discharged on day ten without complications.

Original Source(s)

De Garengeot hernia with intestinal obstruction and appendiceal abscess in an elderly Peruvian patient: a case report

  • by Alvaro Veleto, Cesar Sapaico-Del-Castillo, Roberto Orta-Barriga, Mijail Vega-Barriga, Carla Cuya-Zevallos

  • August 12, 2026

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