Combined De Garengeot and Richter Hernias in a Strangulated Femoral Hernia: A Case Report and Review of the Literature
Nassima Fakhiri, Belbsir Mohamed, Ilias El Azhari, Abdelhak Ettaoussi, Abdessamad Majd, Kamal Khadija, Mounir Bouali, Abdelilah El Bakouri, Khalid El Hattabi
Asian Journal of Research in Surgery · pp. 256–259 · Published 25 Jun 2025
10.9734/ajrs/2025/v8i2292Abstract
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.
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