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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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The swelling was irreducible but not strangulated. It is thought that the introduction of foreign material into a potentially contaminated surgical field could further increase the risk of infection [ 631 ]. We were able to obtain a correct diagnosis and perform an appendectomy prior to making a groin incision.

Very rarely the appendix can also herniate via the left groin [ 714 ]. Received Oct 23; Accepted Dec Fukukura Y, Chang SD. An incarcerated femoral hernia was diagnosed and he underwent emergency surgery. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Surgeons decided to perform appendectomy and inguinal repair of the femoral hernia with placement of a polypropylene mesh to provide a tension free repair.

However, the treatment for this condition along with acute appendicitis is still controversial.

Conclusion This paper presents a case report of a De Garengeot hernia patient who presented a good evolution after surgery. Typical findings include intramural density inside an incarcerated hernia sac demonstrating intestinal involvement with mild associated distention of the small intestine and, in some cases, it is possible to visualize the tubuliform structure surrounded by fat and projected just below the cecum into the hernia sac [6,9].

Discussion De Garengeot hernia is a rare entity that requires early treatment in order to avoid possible complications. The same approach can be applied to acute appendicitis occurring within an inguinal hernia also known as Amyand hernia.

Hernia of the vermiform appendix. As the appendix was not inflamed, it was decided not to perform an appendectomy.


Abdominal enhanced computed tomography CT revealed a swelling and an enhanced appendix within the femoral hernia Fig. Traite des operations de chuirgie. We present a case of a patient with de Garengeot hernia with appendicitis who was successfully treated by performing a hybrid surgery, laparoscopic appendectomy, and anterior hernioplasty.

Using a different approach for each surgery could help prevent contamination of the surgical site. Therefore, selection of the appropriate surgical approach to prevent wound infection is important, especially in the presence of appendicitis. Thus, early surgery is often required.

However, a preoperative diagnosis has often been reported in recent studies, mostly through CT [ 5 ]. Due to the infrequency of the case, there is no standard surgical practice, and cases are managed based on first principles. Both had open femoral hernia repair, one with appendectomy and one with the appendix left in situ. The rate of SSI for inguinal and femoral hernia repairs is 0.

Several surgical approaches exist, including open or laparoscopic approaches either with or without appendectomy, with mesh or simple suture hernioplasty. She has a medical history of asthma, hypertension, hypercholesterolaemia, Type 2 diabetes, arthritis, and deep vein thrombosis for which she was on enoxaparin. The patient had an uneventful postoperative period and was discharged to her home on the second day after surgery.

De Garengeot hernia: Case report and review

Open in a separate window. It is garenegot rare condition that presents with a swelling mass in the groin, which is often tender. View large Download slide. Abstract Introduction Rene De Garengeot, a French surgeon, was the first to describe the presence of the appendix inside a femoral hernia sac in An infrainguinal transverse incision was made over the lump and the hernial sac was dissected free.

The skin was closed with reabsorbable poliglecaprone 25 suture and a pressure dressing applied. Garengfot both cases preoperative CT was utilised to reach the correct diagnosis.

Some theories have proposed the pathogenesis of the migration of the appendix into the femoral hernia. She denied fevers, nausea, vomiting, change in bowel habits, or any urinary symptoms and did not have any recent trauma. Subsequently both cases were successfully operated on and recovered postoperatively with no complications.


There was no evidence of perforation of the caecum or the appendix neither was there a periappendiceal collection. Please review garnegeot privacy policy.

Case Reports in Surgery

The resected specimen was sent off for histological analysis, which did not show any evidence of appendicitis. Our patient was a year-old woman with a bulging mass and tenderness in the right inguinal area. Emergency repair of Morgagni hernia with partial gastric volvulus: Please review our hfrnia policy. A combined approach in which appendectomy was done laparoscopically and the hernia correction by open surgery was recently described for the first time.

Computerized tomography can help defining the preoperative diagnosis and surgical planning as well, but it does not change garenget surgical approach garenteot is indicated to cases of incarcerated hernia.

The appendix was sent for histological analysis that showed no signs of appendicitis. 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 ].

A year-old woman with aplastic anaemia and hypertension who complained of a bulging mass and tenderness in the right inguinal area was referred to our department.

The femoral hernia defect was repaired using interrupted nylon suture, the skin was closed with polyglactin suture, and a pressure dressing was applied to henria seroma formation and maintain haemostasis. This aided the identification of the appendix as hernial sac content.

Its incidence varies between 0. Abstract de Garengeot hernia is a rare subtype of a femoral hernia with incarceration of the appendix. A blunt port was then inserted through the incision and a mm, degree scope was used to examine the abdominal cavity.