May 18, 2019 posted by

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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A Irreducible lump in the right groin with overlying erythema. Support Center Support Center.

De Garengeot hernia is a rare entity that requires early treatment in herjia to avoid complications. An 86 years-old male patient, garengeott to Emergency Department complaining of painful bulging in the right inguinal region, associated with local inflammatory signs.

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 ]. Support Center Support Center. Therefore, selection of the appropriate surgical approach to prevent wound infection is important, especially in the presence of appendicitis.

The patient had an uneventful postoperative period and was discharged to her home on the second day after surgery.

de Garengeot hernia with appendicitis treated by two-way-approach surgery: a case report

Both patients recovered without complications. This anatomical phenomenon is dd to occur in as few as 0. 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.


But only inHevin performed the first appendectomy in an incarcerated femoral hernia [4].

De Garengeot’s hernia

It is a rare entity that has fewer than cases reported in literature. The appendix was resected and the femoral ring was approximated with sutures without use of a mesh.

Background Femoral hernia occurs as the result of protrusion of the sac through the femoral canal medial to the femoral artery and below the inguinal ligament.

De Garengeot hernia is a rare condition in which appendicitis occurs within a femoral hernia. The pathological findings showed acute purulent appendicitis.

De Garengeot hernia: Case report and review

herniz De Garengeot’s hernia in a year-old woman: Very rarely the appendix can also herniate via the left groin [ 714 ]. Hernia 17 2: Pathological examination demonstrated acute appendicitis with transmural necrosis and peri-appendicitis. Spencer Netto — writing.

Address reprint requests to: The femoral canal is a compartment of the femoral sheath which is bordered anterosuperiorly by the inguinal ligament, medially by the lacuna ligament, laterally by the femoral vein, and posteriorly by the pectineal ligament.

At six-month follow-up patient did not have any postoperative complications. J Surg Case Rep 2: Acute appendicitis within a femoral hernia: He denied previous symptoms of hernia. Laparoscopic appendectomy was initially performed, followed by hernioplasty via the anterior approach to prevent properitoneal contamination.


Login Register Login using. Rene De Garengeot, a French surgeon, was the first to describe the presence of the appendix inside a femoral hernia sac in Strangulated femoral hernia containing a perforated appendix.

De Garengeot’s hernia – Wikipedia

AM is the Professor and Chairman in our Department and supervised the writing of this report. It occurs most frequently on the right side [7]. 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. Radiological uernia are often non-specific. Hernia 17 1: The hernia sac contained a gangrenous appendix, which was excised and the hernia was repaired with sutures without complication.

Bidarmaghz B, Tee CL. A major portion of the appendix was seen to pass through a defect adjacent to the inguinal ligament. Fewer than 80 such cases have been reported to date. Computed tomography revealed an incarcerated appendix, with appendicitis in the femoral hernia. J Med Case Rep 5: CT demonstrates a tubular structure following the caecum hernnia the femoral hernia.