Hernia de De Garengeot: dos casos de esta rara entidad

Background: The hernia of De Garengeot is an uncommon pathology, where we find the vermiform appendix (inflamed or not) contained in a femoral hernia. Usually, the clinical picture is of an incarcerated femoral hernia and the diagnosis is made intraoperatively. In the few cases in which diagnostic doubts are presented, image tests are performed. The treatment is surgical, reducing the appendix or performing an appendectomy associated with a hemiorrhaphy or hernioplasty. Case report: We present two cases operated in our center, both with acute appendicitis. One of the cases was diagnosed preoperatively by CT (few cases published in the literature), and in both cases an inguinal approach was performed, with appendectomy and hernioplasty with a cylindrical Lichtenstein plug. Discussion: Although De Garengeot's hernia is rare, surgeons must include it in the differential diagnosis of hernia pathology. The diagnosis will almost always be intraoperative and the treatment of choice should be emergency surgery.