Images in Clinical Medicine from The New England Journal of Medicine — De Garengeot’s Hernia. 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.
Two such cases have been reported, both with good postoperative outcomes [ 1828 ]. Laparoscopic appendectomy was initially performed, followed by hernioplasty via the anterior approach to prevent properitoneal contamination.
De Garengeot’s hernia – Wikipedia
Patient then had an abdominal CT scan garenget oral and intravenous contrast Figure 1. He was discharged on the 3 postoperative day. APr and TK are surgeons from another Hospital who helped in the collection of literature references and review analysis.
She was afebrile, normotensive, and denied abdominal pain, bloating, nausea or vomiting. The treatment of choice for this type of hernia is emergency surgery.
The appendix was seen to disappear into the hernia sac. To our knowledge, fewer than cases of de Garengeot hernia have been reported, and no standard surgical approach has been described for this condition. Int J Surg Case Rep 5 His abdomen was soft, non-distended, and non-tender with normal bowel sounds on auscultation and no signs of bowel obstruction.
Written informed consent was obtained from the patient for the publication of this case report.
An incarcerated femoral hernia was diagnosed and he underwent emergency surgery. National Center for Biotechnology InformationU.
De Garengeot’s hernia
In a systematic review of patients, Hentati concluded that there are no significant differences in the rate of surgical site infection between mesh and suture repair; this was true for both cases with and without bowel resection. Six patients underwent preoperative ultrasound in addition to a CT 1317, 18, 21, 30, 32 and fifteen patients had a preoperative CT as the only imaging method 1, 5, 9, 10, 12, 14, 19, 20, 22, 24 — 26, 29, Various authors have suggested different surgical options ranging from initial open drainage and interval appendectomy and hernia repair, to initial appendectomy followed by interval hernia repair.
Cir Esp 95 3: B Femoral sac possibly containing a gangrenous viscous. The mesoappendix and the base of the appendix were then stapled and transected separately. The incarcerated hernia sac was reduced via the extraperitoneum, and it was then ligated and resected via laparoscopy Fig. Note the oral contrast in the colon, past the ileocaecal junction.
The patient is usually an elderly female with a few days’ history of a painful groin gareengeot, suggestive of an incarcerated hernia or a groin abscess. Hernia 16 6: Laparoscopic view of the femoral hernia with the incarcerated appendix.
Table 1 Due to gradually increasing pain in the region, the patient was transferred to the operating theater. NK and NM are chief resident and postdocroral fellow, respectively, in our Department and helped in reference collection and selection, and the writing of the paper. This article has been cited by other articles in PMC.
De Garengeot hernia | Radiology Reference Article |
This rare hernia usually presents with both diagnostic and therapeutic dilemmas. 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. It has even been reported that, after the spontaneous reduction of a perforated appendix, the hernia neck seals off the infected collection, preventing peritoneal involvement [ 9 ].
Hernia of the vermiform appendix. Initial diagnostic laparoscopy can be an invaluable adjunct in both diagnosis and treatment of atypical hernias. The resected specimen was sent off for histological analysis, which did not show any evidence of appendicitis.
The presentations of both of our cases are that of a typical groin hernia, with irreducible, tender lumps in the groin.