A case of De Garengeot’s hernia with acute appendicitis and literature review

Abstract De Garengeot hernia is a rare subtype of femoral hernia whereby the vermiform appendix is located within the hernial sac. Even rarer is the presence of appendicitis within the hernia sac. De Garengeot’s hernia is difficult to diagnose pre-operatively and can prove technically difficult at operation particularly with regards to mobilization of the caecum and appendix in order to perform appendicectomy. Laparoscopic, open, with and without mesh repair of de Garengeot hernia have all been described in the literature with varying degrees of success. We present a case of an 82 year old lady presenting with an acutely painful right sided groin lump. CT scan revealed the presence of de Garengeot hernia with acute appendicitis. We describe in text and photo format our approach to the hernia repair, appendicectomy and provide a short review of the literature with regards to the different operative approaches to such a patient.

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De Garengeot’s hernia - a case of incarcerated femoral hernia with acute gangrenous appendicitis and literature review

Medicinski pregled ◽

10.2298/mpns2008239s ◽

2020 ◽

Vol 73 (7-8) ◽

pp. 239-244

Author(s):

Veselin Stanisic ◽

Miodrag Radunovic ◽

Miljan Zindovic ◽

Balsa Stanisic

Keyword(s):

Literature Review ◽

Femoral Hernia ◽

Extensive Literature ◽

Rare Type ◽

Hernia Sac ◽

Urgent Surgery ◽

Gangrenous Appendicitis ◽

Defect Repair ◽

De Garengeot’S Hernia ◽

Immediate Surgery

Introduction. De Garengeot?s hernia is a rare type of femoral hernia that contains the appendix within the hernia sac and it is found in 0.5-5% of cases. The incidence of appendicitis within the de Garengeot?s hernia is 0.08-0.13%. We present a case of de Garengeot?s hernia with a gangrenous appendicitis and an extensive literature review of published cases. Case Report. We present a case of a 68-year-old woman who underwent urgent surgery due to an incarcerated femoral hernia and preoperatively undiagnosed de Garengeot?s hernia with a gangrenous appendicitis within the femoral hernia sac. Conclusion. De Garengeot?s hernia is most commonly diagnosed intraoperatively and requires immediate surgery in order to avoid complications. There are no recommendations regarding the choice of surgical procedure for femoral defect repair.

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Ultrasound diagnosis of acute appendicitis complicating De Garengeot’s hernia

Journal of Ultrasound ◽

10.1007/s40477-020-00466-7 ◽

2020 ◽

Author(s):

Edoardo Cavigli ◽

Matteo Mastrorosato ◽

Ginevra Danti ◽

Gloria Addeo ◽

Diletta Cozzi ◽

...

Keyword(s):

Acute Appendicitis ◽

Ultrasound Diagnosis ◽

De Garengeot’S Hernia

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An emergency diagnostic dilemma: a case of Yersinia enterocolitica colitis mimicking acute appendicitis in a β-thalassemia major patient: the role of CT and literature review

Emergency Radiology ◽

10.1007/s10140-007-0643-8 ◽

2007 ◽

Vol 15 (2) ◽

pp. 123-126 ◽

Cited By ~ 9

Author(s):

Petros Antonopoulos ◽

Fotois Constantinidis ◽

Georgios Charalampopoulos ◽

Konstantinos Dalamarinis ◽

Ioannis Karanicas ◽

...

Keyword(s):

Literature Review ◽

Acute Appendicitis ◽

Yersinia Enterocolitica ◽

Thalassemia Major ◽

Diagnostic Dilemma ◽

Thalassemia Major Patient

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Synchronous acute appendicitis and acute cholecystitis, is it a myth or reality? A literature review

Open Access Emergency Medicine ◽

10.2147/oaem.s214161 ◽

2019 ◽

Vol Volume 11 ◽

pp. 201-203

Author(s):

Fatmah Buhamed ◽

Maged Edward ◽

Abdullah Shuaib

Keyword(s):

Literature Review ◽

Acute Appendicitis ◽

Acute Cholecystitis

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Isolated Idiopathic Right Common Iliac Artery Aneurysm Presenting as Acute Appendicitis in a 9-Year-Old Girl: A Case Report and Literature Review

Annals of Vascular Surgery ◽

10.1016/j.avsg.2019.05.026 ◽

2019 ◽

Vol 61 ◽

pp. 469.e13-469.e19

Author(s):

Louai R. Zaidan ◽

Muhammad Tariq Siddique ◽

Muhammad Anees Sharif ◽

Saad AlGarni ◽

Faris Alomran ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Acute Appendicitis ◽

Iliac Artery ◽

Common Iliac Artery ◽

Artery Aneurysm ◽

Iliac Artery Aneurysm ◽

Common Iliac Artery Aneurysm

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Mechanical small bowel obstruction due to acute appendicitis: A case report and literature review

International Journal of Surgery ◽

10.1016/j.ijsu.2018.05.127 ◽

2018 ◽

Vol 55 ◽

pp. S31

Author(s):

R. Mashar ◽

A. Kamali-Hal ◽

J. Heath ◽

M. Ransome

Keyword(s):

Case Report ◽

Small Bowel ◽

Literature Review ◽

Acute Appendicitis ◽

Small Bowel Obstruction ◽

Bowel Obstruction

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827 Acute Appendicitis in An Amyand Hernia – A Case Report and Literature Review

British Journal of Surgery ◽

10.1093/bjs/znab259.589 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

M Ahmad ◽

N Fazili ◽

T P Chang ◽

H Abdalla ◽

J Watfah ◽

...

Keyword(s):

Literature Review ◽

Acute Appendicitis ◽

Neuroendocrine Tumour ◽

Imaging Techniques ◽

White Cell Count ◽

Reactive Protein ◽

Inguinoscrotal Hernia ◽

Mesh Terms ◽

Amyand Hernia ◽

Operative Findings

Abstract Introduction An Amyand Hernia (AH) is the presence of an Appendix within an Inguinal Hernia. We present here our clinical management of acute appendicitis in an AH and subsequent literature review. A 73-year-old male patient presented with a two-day history of right sided irreducible inguinoscrotal hernia with tender swelling on standing and walking. This was not associated with symptoms of bowel obstruction or fevers. Blood investigations revealed a raised C-Reactive Protein of 129m/l and White Cell Count of 15x10^9/L. A Computed Tomography scan of the Abdomen and Pelvis revealed a right sided inguinoscrotal hernia arising lateral to the inferior epigastric vessels, containing an inflamed appendix and omental fat. The patient underwent an emergency open hernia repair with mesh and, considering that the appendix base was intra-abdominal, also underwent a laparoscopic appendicectomy. Method We conducted a literature review on Pubmed and Medline using the MeSH terms ‘Amyand Hernia’ AND ‘Appendicitis’ from 1970 to 2020. Results We longlisted 179 articles. Of these, 117 were excluded, as they were either paediatric cases, not relevant or mentioned in discussions. Finally, 62 relevant articles were included in the review. Conclusions Acute Appendicitis in Amyand Hernias has an incidence of 0.07-0.13%. Most cases remain as incidental findings however, increased use of imaging techniques has allowed accurate diagnoses and attempts at classifications. There is also weak association with Situs Inversus and atypical appendiceal tumours including adenocarcinoma, carcinoid and neuroendocrine tumour. Their management varies according to the extent of inflammation, radiological and intra-operative findings.

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Acute Appendicitis in the Elderly: A Literature Review on an Increasingly Frequent Surgical Problem

Geriatrics ◽

10.3390/geriatrics6030093 ◽

2021 ◽

Vol 6 (3) ◽

pp. 93

Author(s):

Sintija Lapsa ◽

Arturs Ozolins ◽

Ilze Strumfa ◽

Janis Gardovskis

Keyword(s):

Surgical Treatment ◽

Literature Review ◽

Acute Appendicitis ◽

Elderly Population ◽

Total Population ◽

Pathological Condition ◽

Clinical Signs ◽

The Elderly ◽

Increased Risk ◽

Overall Health Status

With increased life expectancy and the growing total population of elderly patients, there has been rise in the number of cases of acute appendicitis in elderly people. Although acute appendicitis is not the most typical pathological condition in the elderly, it is not uncommon. Most of these patients require surgical treatment, and as with any acute surgical pathology in advanced age, treatment possibilities are affected by comorbidities, overall health status, and an increased risk of complications. In this literature review we discuss differences in acute appendicitis in the elderly population, with a focus on clinical signs, diagnostics, pathogenesis, treatment, and results.

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