De Garengeot hernias are femoral hernias that contain the appendix. It is a rare phenomenon, with only 1% of all femoral hernias containing the appendix (and. De Garengeot hernia should be suspected in an elderly woman presenting with signs and symptoms of a strangulated hernia. The differential. Images in Clinical Medicine from The New England Journal of Medicine — De Garengeot’s Hernia.

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As for the technique to be used, due to the rarity of this disease, it was not possible to establish a standard conduct yet. The sac was opened revealing a congested appendix and caecum.

Proc R Soc Med. Regarding the use of polypropylene mesh there is consensus that if there is no abscess or appendix perforation it is possible to use it without increasing chances of infection or hernia recurrence [7]. In earlier reports operative treatment invariably involves simultaneous appendicectomy and femoral hernia repair.

This case reports an elderly man with incarcerated hernia diagnosed with De Garengeot hernia intraoperatively and submitted to open inguinal hernia repair with mesh and appendectomy trough the inguinotomy at same surgical procedure. This article has been cited by other articles in PMC.

Both had open femoral hernia repair, one with appendectomy and one with the appendix left in situ. We present a case of a patient with de Garengeot gareneot with appendicitis who was successfully treated by performing a hybrid surgery, laparoscopic appendectomy, and anterior hernioplasty.

Authors in such cases reason that it is the delay in surgical intervention rather than the method of hernia repair which influences the risk of surgical site infection [ 182932 ].

The patient went home on day one after the operation. Emergency repair of Morgagni hernia with partial gastric volvulus: A recurrent, incarcerated inguinal hernia was suspected, but the lack of systemic or abdominal symptoms and the absence of findings suggesting bowel obstruction was concerning. We were also able to anticipate the contents of the hernia before opening the sac.


De Garengeot’s hernia – Wikipedia

We decided to do a diagnostic laparoscopy prior to exploration of the groin. A review of the literature indicates the incidence of de Garengeot hernias gqrengeot be greater in women, paralleling the sex-related incidence of femoral hernias. A laparoscopic appendectomy was then performed prior to open exploration of the groin.

She had no known allergies. She was known previously to have a spontaneously reducible lump in the right groin suggestive of a hernia. She had a long history of constipation but no recent change in her bowel habit, nausea, vomiting, or pain. To receive news and publication updates hernua Case Reports in Surgery, enter your email address in the box below.

Acute appendicitis within a femoral hernia: We then turned our attention to the right inguinal swelling. Two such cases have been reported, both with good postoperative outcomes [ 1828 ]. Fewer than 80 such cases have been reported to garengeof. However, the treatment garengoet this condition along with acute appendicitis is still controversial. Hernia of the vermiform appendix. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair.

The tight neck of the femoral canal acts as a seal which limits inflammation and infection in the hernia sac; therefore perforation of the appendix in the hernia sac will rarely present with peritonitis. This is an open access article distributed under the Creative Commons Attribution Licensewhich garnegeot unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A meta-analysis and systematic review. This anatomical phenomenon is thought to occur in as few as 0.

De Garengeot Hernia

The appendectomy through the hernia sac in a single surgical procedure is an accepted approach but laparoscopy remains controversial [8]. In one case an open appendectomy was performed and in the other the appendix was left in situ; both had uneventful recovery. In Maingot R, editor.


The incarcerated hernia sac was reduced gareneot the extraperitoneum, and it was then ligated and resected via laparoscopy Fig. An 86 years-old male patient, comes to Emergency Department complaining of painful bulging in the right inguinal region, associated with local inflammatory signs. Hybrid surgery, laparoscopic appendectomy and hernioplasty via the anterior approach are recommended in patients with de Garengeot hernia with appendicitis.

Stranding yernia thickening of the adjacent anterior abdominal wall fat was also seen.

Case Reports in Surgery

The resected specimen was sent off for histological analysis, which did not show any evidence of appendicitis. Due to the small potential space in the femoral canal, femoral hernias are much more likely to become incarcerated and strangulated.

Operative findings included an incarcerated, gardngeot appendix within a femoral hernia. Surgeons decided to perform appendectomy and hernja repair of the femoral hernia with placement of a polypropylene mesh to provide a tension free repair.

There is a predisposition for females 1: An appendicectomy was then done and the base was buried using purse-string technique with absorbable polydioxanone suture. Due to the infrequency of the case, there is no standard surgical practice, and cases are managed based on first principles. With increasing published case reports it may be possible to systematically review the herjia and reach a consensus as to what the optimal surgical management may be.

Conclusion De Garengeot hernia is a rare entity that requires early treatment in order to avoid complications. This rare condition occurs in 0. Ruptured appendicitis in femoral hernias: The perfusion however normalised when the neck of the hernia was released. De Garengeot hernia is a rare condition in which appendicitis occurs within a femoral hernia.

However, a preoperative diagnosis has often been reported in recent studies, mostly through CT [ 5 ]. Published online Jan