De Garengeot Hernia: A Report of 3 Cases and Bibliographic Review

Introduction: Amyand’s hernia is an indirect inguinal hernia, whose content is an inflamed or non cecal appendix. Presentation of cases: We present three cases found in 2015 at the General University Hospital of Ciudad Real. The average age was 71 years, all referred inguinal mass; only one of them had an episode of incarceration, which was resolved conservatively. Programmed surgery was performed with inguinal region repair using prosthetic material and reduction of ileocecal appendix. No postoperative complications or recurrences were observed. Discussion: The inguinal hernia is a visceral or tissue protrusion, typically the omentum, through an orifice or anatomical defect. Amyand described first apendicectomy in indirect inguinal hernias with inflamed cecal appendix within the peritoneal sac in 1735. Preoperative diagnosis is difficult and it is based on clinical information and physical examination (diffuse abdominal pain, lump in inguinal region). Even the use of complementary tests could not give us the pertinent information. The treatment with appendicular dissection and inguinal region repair with or without prosthesis depends on the inflammatory state of the ileocecal appendix. Some authors recommend the use of laparoscopy. Conclusions: This pathology has a very low frequency. Treatment consists of reducing it without excision, with repair of inguinal region with prosthetic material, although, laparoscopy may be useful.