Combined De Garengeot and Richter Hernias in a Strangulated Femoral Hernia: A Case Report and Review of the Literature
Nassima Fakhiri
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Belbsir Mohamed
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Ilias El Azhari
*
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Abdelhak Ettaoussi
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Abdessamad Majd
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Kamal Khadija
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Mounir Bouali
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Abdelilah El Bakouri
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
Khalid El Hattabi
Department of General Surgery, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
De Garengeot and Richter hernias are rare types of groin hernias, each with distinct features and clinical challenges. A De Garengeot hernia involves the appendix within a femoral hernia sac, while a Richter hernia involves partial bowel wall herniation, often without obstruction. Both conditions are more common in women due to the higher prevalence of femoral hernias. The simultaneous occurrence of these two hernias is extremely rare, with only one previously reported case. This article presents a unique case involving both hernia types, highlighting diagnostic and surgical considerations.
Keywords: De Garengeot, Richter hernia, femoral hernia, groin hernias