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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No ascites or dilated bowels were observed.

The preoperative diagnosis is difficult, and most patients end up being taken to the operating room with the nonspecific diagnosis of incarcerated hernia. Both patients recovered without complications. We were able to obtain a correct diagnosis and perform an appendectomy prior to making a groin incision. The patient is usually an elderly female with a few days’ history of a painful groin swelling, suggestive of an incarcerated hernia or a groin abscess.

Laparoscopic findings showing migration of the appendix into the femoral hernia.

De Garengeot hernia: Case report and review

The lump was in her right groin and was tender and irreducible. Some authors recommended a simple suture repair in appendectomy [ 10 ].

Our cases are the first ones where oral plus intravenous contrast was used for the CT scan, which helped to demonstrate the lack of small and large bowel involvement in the hernia. A year-old female was referred as an emergency by varengeot General Practitioner with a two-week history of a painless irreducible lump in the right groin. An 86 years-old male patient, comes to Emergency Department complaining of painful bulging in the right inguinal region, associated with local inflammatory signs.

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We would like to highlight the usefulness of hybrid surgery, laparoscopic appendectomy and gzrengeot via the anterior approach to prevent SSIs.

View large Download slide. The mass was firm to palpation and nonreducible, with erythema of the overlying skin. Akopian G, Alexander M. This phenomenon is thought to occur in 0. We found some recent reports on cases in which hernka patients were successfully treated using the laparoscopic approach [ 6 ].

Ruptured appendicitis in femoral hernias: When facing a patient with incarcerated hernia emergency surgery must be indicated even if it is not possible to determine the contents of the hernia. Computerized tomography can help defining the preoperative diagnosis and surgical planning as well, but it does not change the surgical approach that is indicated to cases of incarcerated hernia. Report of a case.

Author information Copyright and License information Disclaimer. To the best of our knowledge, this approach has never been described before. Conclusion De Garengeot hernia is a rare entity garegneot requires early treatment in order to avoid complications. Operative Technique An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique. Wise L, Tanner N.

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De Garengeot hernia: Case report and review

The appendix was sent for histological analysis that showed no signs of appendicitis. CT scan of the abdomen showing the abscess-like collection white arrow in the right lower quadrant. Very rarely the appendix can also herniate via the left groin [ 714 ]. The major part of the appendix passed through the femoral orifice Fig. A rare case of acute abdomen: Two such cases have been reported, both with good postoperative outcomes [ 1828 ].

Depending on the movement of the caecum, the appendix can assume various end-positions, most common of which are pelvic and postileal ones [ 5 ]. She had no known allergies. 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 ].