Laparoscopic Treatment of De Garengeot´s Hernia with Appendicitis

Introduction: The Garengeot’s hernia is a rare femoral hernia and its diagnosis should be suspected when we identified a bulging in the right iliac fossa associated with anorexia and signs of inflammation. Their treatment is still subject to divergences, and there is no common opinion about its treatment. Presentation of Case: Female patient, LAT, 60 years old, had come to Grajau General Hospital (GGH) at the Emergency Room (ER) presenting abdominal pain localized in the right iliac fossa. Computerized tomography showed femoral hernia at right with mesenteric fat, cecal appendix and lymphonodes that suggested regional inflammatory process. The patient was submitted to a laparoscopic surgery with closure of the hernia ring without the placement of a mesh. Conclusion: The laparoscopic approach can be used as less invasive method of treatment and it presents better results.