# Surgical Approach in Management of Acute Appendicitis Within a De Garengeot Hernia: A Case Report

## TL;DR

This case report describes a successful open surgical treatment for acute appendicitis within a rare De Garengeot hernia in an elderly woman.

## Contribution

The report highlights the successful use of an open high McEvedy approach with primary suture closure for this rare condition.

## Key findings

- An elderly female presented with a De Garengeot hernia complicated by acute appendicitis.
- The open high McEvedy approach with primary suture closure was successfully used for treatment.
- The patient's symptoms including groin lump, pain, nausea, and fever were resolved post-surgery.

## Abstract

De Garengeot hernias are rare surgical occurrences and even more so when the histopathology reveals acute appendicitis. Varying approaches are documented with regards to open versus laparoscopic and the use of mesh. This case demonstrates the successful use of an open high McEvedy approach with primary suture closure in an elderly female who presented with an acute history of a right groin lump, right iliac fossa pain, nausea and fever.