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.
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De Garengeot hernia: Case report and review
Open in a separate window. In Maingot R, editor.
J Surg Case Rep. We would like to highlight the usefulness of hybrid surgery, laparoscopic appendectomy and hernioplasty via the anterior approach to prevent SSIs. Acute appendicitis within a femoral hernia: Hernia 12 1: There are however a number of studies looking into the use of mesh in strangulated and incarcerated inguinal hernia, which may be of some reference due to the similarity in the composition of the hernia content and the surgical management involved.
The patient evolved clinically well without postoperative complications or signs of recurrence four months after surgery.
It is a rare condition that presents with a swelling mass in the groin, which is often tarengeot. When facing a patient with incarcerated hernia, emergency surgery must be indicated. An unusual groin exploration: Surgeons decided to perform appendectomy and inguinal repair of the femoral hernia with placement of a polypropylene mesh to provide a tension free repair.
Depending on protocol and reporting expertise, CT has demonstrated some value, with only 4 reported cases where CT has given the correct diagnosis [ 1719 — 21 ].
She also complained of increasing pain and redness in the right groin. Then, two additional 5-mm trocars were inserted in the left lower and middle abdominal regions.
De Garengeot’s hernia
Note the oral contrast in the colon, past the ileocaecal junction. There is a predisposition for females 1: Two days later, it evolved with progressive pain associated with local erythema. No use, distribution or reproduction is permitted which does not comply with these terms. Case report JD, male, 86 years, garengeoy to the emergency department of a reference service in General Surgery with complaints of painful bulging in the right inguinal region during the last four days.
De Garengeot hernia: Case report and review
Thirty-four patients 5 men and 29 women with a mean age of On assessment the patient was in painful distress, she was tachycardic but otherwise her vital signs were stable. In 9 cases no imaging studies were performed as physical examination indicated an incarcerated hernia inguinal versus femoral and received emergency surgical treatment 36, 7, 11, 23, 27, 28, Support Center Support Center.
Inguinotomy was performed and after opening the posterior wall of the inguinal canal and hernia sac dissection it was possible to observe the presence of the appendix incarcerated in its interior, without clinical signs of appendicitis Fig.
On assessment the patient appeared well, her vital signs were stable, and her abdomen was soft and nontender. Both patients were systemically well with no bowel symptoms; this is despite patient 1 having an obstructed and partially strangulated hernia. Frequently, the inflamed or ruptured appendix is a surprise finding when the groin swelling is explored.
Due to the vestigial nature of the appendix, strangulation does not result in mechanical obstruction, garenbeot ileus can occasionally develop secondary to inflammation.
The treatment of choice for this type of hernia is emergency surgery.
De Garengeot hernia | Radiology Reference Article |
Appendiceal diverticulitis in a femoral hernia causing necrotizing fasciitis of the right inguinal region: A year-old female was referred as an emergency by her General Practitioner with a two-week history of a painless irreducible lump in the right groin.
The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. She denied fevers, nausea, vomiting, change in bowel habits, or any urinary symptoms and did not have any recent trauma. Support Center Support Center. Only in 2 published cases the surgical team chose the laparoscopic approach for both appendectomy and hernia repair one TAPP procedure and one case primary repair.
D Inflamed skeletonized appendix after ligation of the appendiceal artery. JD, male, 86 years, referred to the emergency department of a reference service in General Surgery with complaints of painful bulging in the right inguinal region during the last four days. Laparoscopic appendectomy was initially performed, followed by hernioplasty via the anterior approach to prevent properitoneal contamination.
To receive news and publication updates for Case Reports in Surgery, enter your email address in the box below. Appendiceal pus in a hernia sac simulating strangulated femoral hernia: The rest of the wound was closed in layers, by using absorbable sutures for deep subcutaneous layer and staples for skin.
Rene Jacques Croissant De Garengeot, a French surgeon, was the first to describe the presence of the appendix inside a incarcerated femoral hernia in Initially a right inguinal incision was performed.
An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique. The preoperative diagnosis is difficult, and most patients end up being taken to the operating room with the nonspecific diagnosis of incarcerated hernia. Int J Surg Case Rep 5