scholarly journals A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Alyssa Goldbach ◽  
Partha Hota ◽  
Andrew Czulewicz ◽  
Christine Burgert-Lon ◽  
Omar Agosto
Keyword(s):  
Femoral Hernia ◽  
Surgical Intervention ◽  
Incidental Finding ◽  
Critical Role ◽  
Fluid Collection ◽  
Cross Sectional ◽  
Chronic Appendicitis ◽  
Hernia Sac ◽  
Cross Sectional Imaging ◽  
De Garengeot Hernia

The de Garengeot hernia is an uncommon and potentially confounding pathologic process in which the appendix is contained within a femoral hernia. While typically a benign incidental finding, superimposed acute appendicitis is a rare but serious complication. Identification of this entity is crucial to patient management and ultimately outcome with imaging playing a critical role. Cross-sectional imaging, with either CT or MRI, should be performed in all cases of suspected incarcerated de Garengeot hernia to facilitate the appropriate diagnosis and surgical intervention. Herein, we present the fifth case of a prospective CT diagnosis of the de Garengeot hernia in a 61-year-old female who presented with an irreducible right femoral hernia. The patient underwent CT examination which demonstrated the appendix within the femoral hernia sac with an associated periappendiceal fluid collection. The patient was taken for emergent surgical intervention at which time the appendix was found within the hernia sac. The appendix was removed, the defect repaired, and ultimately the patient recovered well.

scholarly journals De Garengeot Hernia: Case Report and Review of the Literature of a Rare Femoral Hernia

2021 ◽  
Author(s):  
Leo Licari ◽  
Sofia Campanella ◽  
Claudia Carolla ◽  
Simona Viola ◽  
Giuseppe Salamone
Keyword(s):  
Femoral Hernia ◽  
Abdominal Cavity ◽  
Fluid Collection ◽  
Rare Condition ◽  
Hernia Sac ◽  
Blind Ending ◽  
Tender Mass ◽  
Operative Findings ◽  
The Right ◽  
De Garengeot Hernia

AbstractDe Garengeot hernia is a rare femoral hernia defined as the presence of the appendix within the femoral hernia sac. The incidence of appendicitis in this type of hernia is a rare condition that accounts for 0.08–0.13% of all De Garengeot hernias. We describe the case of a 61-year-old woman that presented at the emergency department with a tender mass (diameter 10 × 8 cm) in the right groin region for 5 days associated with pain in lower right abdomen and accompanied by fever (38 °C). Computed tomography (CT) of the abdomen revealed the presence of a complex fluid collection with small foci of air in the right inguinal region, measuring 9 × 7 × 10 cm in the 3 orthogonal dimensions and a blind ending tubular structure extending from the caecal base into the groin mass through a narrowed neck defect, medial to the common femoral vessels. The CT scan demonstrated the suspected diagnosis of De Garengeot hernia complicated by acute appendicitis. The intra-operative findings confirmed the diagnosis. The patient was successfully managed operatively. The surgical strategy took into account the need to significantly reduce the diffusion of the infection inside the abdominal cavity. The patient was discharged on the fifth postoperative day without peri-/postoperative complications.

scholarly journals Incidental non-complicated posterior rectus sheath hernia

2020 ◽  
Vol 6 (1) ◽  
pp. 20190072
Author(s):  
Peter Connell ◽  
James Hennebry ◽  
Senan Alsanjari ◽  
Riddhika Chakravartty ◽  
Mona Sabala
Keyword(s):  
Surgical Intervention ◽  
Incidental Finding ◽  
Rectus Sheath ◽  
Evidence Base ◽  
Cross Sectional ◽  
Posterior Portion ◽  
Rare Finding ◽  
Posterior Rectus Sheath ◽  
Cross Sectional Imaging ◽  
Uncommon Condition

Posterior rectus sheath hernia is a truly rare finding, with only 11 documented cases since the first report in 1937. A posterior rectus sheath hernia is herniation of bowel and/or omentum through the posterior portion of the rectus sheath, but not through any other structure. This can only occur medial to the spigelian fascia, differentiating it from a spigelian hernia. Previous missed cases have led to complications such as bowel incarceration, obstruction or even strangulation and have required surgical intervention. In this case report, we describe an incidental finding of a non-complicated posterior rectus sheath hernia in an 83-year-old male. Annotated cross-sectional imaging provides anatomical context that is not widely available in the existing literature. Due to its rarity and potential complications, it is also important to report this case in order to enhance the evidence base for posterior rectus sheath hernia and to familiarize this uncommon condition to radiologists, clinicians and surgeons.

De Garengeot Hernia: Appendicitis within a Femoral Hernia

2005 ◽  
Vol 71 (6) ◽  
pp. 526-527 ◽  
Author(s):  
Gabriel Akopian ◽  
Magdi Alexander
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
18Th Century ◽  
Hernia Sac ◽  
Rare Finding ◽  
Amyand Hernia ◽  
De Garengeot Hernia

Many surgeons are familiar with Amyand hernia, which is an inguinal hernia sac containing an appendix. However, few surgeons know of the contribution of Rene Jacques Croissant de Garengeot, an 18th century Parisian surgeon, to hernias. He is quoted in the literature as the first to describe the appendix in a femoral hernia sac. We discuss the case of an 81-year-old woman who presented with appendicitis within a femoral hernia, a rare finding at surgery that is almost never diagnosed preoperatively. We also propose crediting Croissant de Garengeot by naming this condition after him. Although his full last name is Croissant de Garengeot, for convenience we suggest the simple diagnosis of “de Garengeot hernia.”

Systemic arteriopulmonary venous fistula (APVF): case presentation of an asymptomatic individual and a review of the literature

2021 ◽  
Vol 14 (7) ◽  
pp. e241644
Author(s):  
Paul Jenkins ◽  
Prageeth Dissanayake ◽  
Richard Riordan
Keyword(s):  
Chest Radiograph ◽  
Cardiovascular Health ◽  
Incidental Finding ◽  
Chest Radiographs ◽  
Cross Sectional ◽  
Arterial Circulation ◽  
Cross Sectional Imaging ◽  
Venous Fistula ◽  
The Right

Abnormal communications between the systemic and pulmonary venous systems are rare but can present as a opacity on chest radiograph. A solitary vessel communicating as a fistula directly between the systemic arterial circulation and the pulmonary venous system is not widely described. These may have significant implications in the long-term cardiovascular health of an individual acting as a left to right shunt. There is no clear consensus as to the management, but surgical management and endovascular embolisation have been successfully used. We present a case where a systemic arteriaopulmonary fistula originating from the abdominal aorta and connecting to the right inferior pulmonary vein manifested as an incidental finding on a chest radiograph and was further evaluated on cross-sectional imaging in a young patient. Chest radiographs are non-specific and it is important to be aware of the less frequent but important pathologies that can be picked up on plain chest radiographs, which inturn should warrant further investigation. This is presented in conjunction with a review of the available literature along with a discussion regarding the differential diagnosis and management applicable to the general clinician.

scholarly journals S1572 Asymptomatic Agenesis of the Dorsal Pancreas: A Rare Incidental Finding on Cross Sectional Imaging

2021 ◽  
Vol 116 (1) ◽  
pp. S709-S709
Author(s):  
Mohammad Abdallah ◽  
Thomas Houghton ◽  
Michelle Baliss ◽  
Kevin Kline ◽  
Sreeram Parupudi
Keyword(s):  
Incidental Finding ◽  
Cross Sectional ◽  
Dorsal Pancreas ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

scholarly journals Gastric Schwannoma

2018 ◽  
Vol 36 (2) ◽  
pp. 157
Author(s):  
Tanawat Pattarapuntakul
Keyword(s):  
Incidental Finding ◽  
Abdominal Mass ◽  
Mesenchymal Tumors ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
Gastric Schwannoma ◽  
Cross Sectional Imaging ◽  
Slow Growing ◽  
Radiology And Pathology ◽  
Upper Gastrointestinal

A gastric schwannoma is a rare primary spindle cell mesenchymal tumor of the digestive tract. Gastric schwannomas originate from Schwann cells of the peripheral nerves in the stomach. The majority of schwannomas are benign, slow growing tumors only a few of which develop into malignancies. Due to their indolent course, in most cases, gastric schwannomas are asymptomatic or discovered as an incidental finding on cross-sectional imaging or endoscopy. When symptomatic, the most common presenting symptoms are abdominal pain, upper gastrointestinal bleeding and intra- abdominal mass. Preoperatively, gastric schwannomas are difficult to differentiate from other mesenchymal tumors, such as gastrointestinal stroma or leiomyoma which develop from mesenchymal stem cells. The optimal management of the tumor is based on the symptoms of the patient, tumor size and histologic grading and the prognosis is excellent after complete surgical or endoscopic removal. Gastric schwannomas need multidisciplinary team management for definitive diagnosis and management, including specialists from gastroenterology, surgery, radiology and pathology.

Traumatic orbital ligament avulsion diagnosed with cross-sectional imaging in three dogs

2020 ◽  
Vol 8 (3) ◽  
pp. e001143
Author(s):  
Emilie M Hanot ◽  
David L Williams ◽  
Abby Caine
Keyword(s):  
Surgical Intervention ◽  
Specific Treatment ◽  
Linear Structure ◽  
Facial Trauma ◽  
Visual Axis ◽  
Cross Sectional ◽  
Zygomatic Process ◽  
Frontal Process ◽  
Cross Sectional Imaging ◽  
Uncommon Condition

The aim of the study was to describe the clinical and imaging findings of three dogs diagnosed with orbital ligament avulsion. Three immature dogs presented following a facial bite trauma, including multiple skull fractures and ventral, ventrolateral or rostrolateral displacement of the affected eye. The extent of lesions and orbital ligament avulsion were assessed and diagnosed using CT (n=2) or MRI (n=1). Orbital ligament avulsion was identified as an interruption of the linear structure between the zygomatic process of the frontal bone and the frontal process of the zygomatic bone. One dog was treated surgically to correct a visual axis alteration, while the remaining two dogs were managed conservatively. Orbital ligament avulsion is an uncommon condition that should be considered following a facial trauma. Concurrent lesions might necessitate surgical intervention, but it remains unclear if the avulsion of the orbital ligament itself requires a specific treatment.

scholarly journals Unusual case of De Garengeot hernia: femoral hernia containing purulent appendicitis in a 69-year-old man

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110284
Author(s):  
Longchao Yan ◽  
Yingyi Zhang
Keyword(s):  
Femoral Hernia ◽  
Surgical Procedure ◽  
Preoperative Diagnosis ◽  
Unusual Case ◽  
Single Incision ◽  
Vermiform Appendix ◽  
Rare Type ◽  
Common Procedure ◽  
Hernia Sac ◽  
De Garengeot Hernia

A De Garengeot hernia is a rare type of femoral hernia that involves a vermiform appendix within a femoral hernia sac. Because of the rarity of this disease, a standard surgical procedure has not been established, and most cases are diagnosed intraoperatively. Preoperative diagnosis of a De Garengeot hernia is quite difficult. Computed tomography is the most sensitive and specific technique among the available imaging tests for preoperative diagnosis of a De Garengeot hernia. Although a standard surgical procedure is lacking, prompt surgery has become the consensus. The most common procedure is the open anterior approach; this allows exploration of the hernia sac and rapid treatment of its contents, routine appendectomy through a single incision, and preperitoneal repair of the femoral hernia.

scholarly journals A case of a three-month-old female infant with incarcerated femoral hernia

2019 ◽  
Vol 147 (5-6) ◽  
pp. 368-370
Author(s):  
Jovan Mladenovic ◽  
Nebojsa Videnovic ◽  
Milan Filipovic ◽  
Rasa Mladenovic ◽  
Zlatan Elek
Keyword(s):  
Fallopian Tube ◽  
Femoral Hernia ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Left Ovary ◽  
Female Infant ◽  
Preoperative Preparation ◽  
Hernia Sac

Introduction. Femoral hernia in children is very rare and it appears in 0.2% of all hernias during childhood. It is three times more frequent in girls. The aim of this paper is to present a female infant with incarcerated femoral hernia. Case outline. A female infant aged three months was hospitalized with classical clinical signs of incarcerated left femoral hernia. After preoperative preparation, a transversal inguinal incision was performed on the left side and an incarcerated femoral hernia was confirmed with a torn and gangrenous left ovary and fallopian tube. Following adnexectomy, the hernia sac was ligated and resected and hernioplasty was made by the reconstruction of the Cooper?s ligament. Conclusion. A delayed surgical intervention for incarcerated femoral hernia in a female can result in a loss of the ovary and the fallopian tube, which may lead to serious consequences later in life.

scholarly journals A Rare Case of De Garengeot Hernia: A Challenging Diagnosis and a New Approach

2021 ◽  
pp. 1-3
Author(s):  
Sleiman Marwan Julien ◽  
Sleiman Marwan Julien ◽  
Litchinko Alexis ◽  
Toso Christian ◽  
Ris Frédéric ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Hernia Repair ◽  
Femoral Hernia ◽  
Clinical Presentation ◽  
Emergency Setting ◽  
Rare Presentation ◽  
Hernia Sac ◽  
Double Approach ◽  
The Right ◽  
De Garengeot Hernia

De Garengeot’s hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting. The clinical presentation is usually that of an incarcerated femoral hernia and is indistinguishable from other incarcerated femoral hernias. Here, we report on a 48-year-old female patient, known for a post-operative chronic seroma in the right groin since childhood, with a rare clinical presentation of a De Garengeot hernia. An abdominal CT-scan was performed, revealing an appendicitis with a stercolith in a femoral hernia. Generally, an inguinal approach alone (McVay procedure) is chosen and provides access for both appendectomy and hernia repair. In the absence of concomitant acute appendicitis, trans-abdominal pro-peritoneal laparoscopy (TAPP) could also be used as a single approach. In case of a rare presentation of acute appendicitis with probable contamination of the groin, we propose the double approach of laparoscopic appendectomy and hernia repair either with (if hernia sac is not opened during surgery) or without mesh. This approach is not yet described in the literature, and we think it the best technique to perform the appendectomy and hernia repair with little contamination of the groin.

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