Garengeot’s hernia: two case reports with CT diagnosis and literature review

AbstractGarengeot’s hernia (GH) is defined as the presence of the appendix inside a femoral hernia. It occurs in 0.9% of femoral hernias and is usually an incidental finding during surgery. Its treatment is controversial and the aim of this article is to review the diagnostic methods and surgical considerations.We report two cases diagnosed preoperatively by contrast-enhanced computed tomography (CT) and discuss the treatment options based on a review of the literature published in PubMed updated on 1 December, 2015.Fifty articles reporting 64 patients (50 women, mean age 70 years) with GH were included in the analysis. Diagnosis was performed by preoperative CT in only 24 cases, including our two. The treatment of GH is emergency surgery. Several options are available laparoscopic or open approach: insertion of a mesh or simple herniorrhaphy, with or without appendectomy.ConslusionThe preoperative diagnosis with CT can guide the choice of treatment. Appendectomy and hernioplasty should be performed via inguinotomy, if there is no perforation or abscess formation.

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Unusual symptomatic late onset presentation of aberrant right subclavian artery: report of two cases and short literature review

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2017.774 ◽

2017 ◽

Vol 87 (1) ◽

Author(s):

Yannis Dimitroglou ◽

Ioannis Loulakas ◽

Maria Chounti ◽

Michail Megalakakis ◽

Eleni Karavana ◽

...

Keyword(s):

Subclavian Artery ◽

Surgical Intervention ◽

Late Onset ◽

Incidental Finding ◽

Aberrant Right Subclavian Artery ◽

Barium Swallow ◽

Main Symptom ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Aberrant subclavian arteries are congenital vascular anomalies that usually do not cause any symptoms. When symptomatic they are considered as a rare cause of dysphagia. This presentation is known as dysphagia lusoria. They are diagnosed by barium swallow or contrast-enhanced computed tomography, although it may be an incidental finding. Management varies from life modifications and drug therapy to surgical intervention. We report two cases of the unusual form of late onset symptomatic presentation because of the presence of aberrant right subclavian artery. Main symptom was chest pain without dysphagia. Due to age and medical comorbidities both patients where managed conservatively.

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Changes in Findings of Mammography, Ultrasonography and Contrast-enhanced Computed Tomography of Three Histological Complete Responders with Primary Breast Cancer Before and After Neoadjuvant Chemotherapy: Case Reports

Japanese Journal of Clinical Oncology ◽

10.1093/jjco/hyd119 ◽

2000 ◽

Vol 30 (10) ◽

pp. 453-457 ◽

Cited By ~ 9

Author(s):

T. Nakamura

Keyword(s):

Breast Cancer ◽

Computed Tomography ◽

Neoadjuvant Chemotherapy ◽

Primary Breast Cancer ◽

Case Reports ◽

Contrast Enhanced ◽

Before And After ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

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Brachiocephalic Vein Aneurysm Treated with Surgery: A Case Report

The Heart Surgery Forum ◽

10.1532/hsf.2571 ◽

2019 ◽

Vol 22 (5) ◽

pp. E357-E359

Author(s):

Jin hong Wi

Keyword(s):

Vascular Graft ◽

Incidental Finding ◽

Median Sternotomy ◽

Rare Condition ◽

Unknown Origin ◽

Brachiocephalic Vein ◽

Postoperative Course ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Brachiocephalic vein aneurysm is an extremely rare condition of unknown origin. It may be asymptomatic, presenting as an incidental finding or as a result of complications it causes. We report a case of a 54-year-old man who was asymptomatic and diagnosed with an isolated saccular aneurysm of the left brachiocephalic vein using contrast-enhanced computed tomography. The patient underwent aneurysmectomy through a median sternotomy with no requirement for a vascular graft or cardiopulmonary bypass. The patient had an uneventful postoperative course and remained well two months after the surgery.

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Unusual Presentation of Anal Pain and Tenesmus from Rectal Arteriovenous Malformation Successfully Treated with Ethanol Sclerotherapy

Case Reports in Gastroenterology ◽

10.1159/000513147 ◽

2021 ◽

pp. 262-268

Author(s):

Jihoon Hong ◽

Sang Yub Lee ◽

Jung Guen Cha ◽

Jun Heo

Keyword(s):

Arteriovenous Malformation ◽

Treatment Options ◽

Major Complication ◽

Intestinal Bleeding ◽

Anal Pain ◽

Ethanol Sclerotherapy ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Gastrointestinal arteriovenous malformation (AVM) is reported as one of the possible causes of intestinal bleeding, and its occurrence in the rectum is rare. We report the case of a rectal AVM patient who experienced uncommon symptoms of anal pain and tenesmus and was treated successfully with percutaneous transarterial ethanol sclerotherapy. The patient underwent routine colonoscopy with biopsy at the time of visit; however, an accurate diagnosis was difficult. Subsequent contrast-enhanced computed tomography (CT) and angiography revealed a rectal AVM emerging from the distal inferior mesenteric artery with engorged superior rectal veins. The feeding artery was catheterized, and concurrent transarterial sclerotherapy with 80% ethanol was performed. There was no major complication related to the procedure. Disappearance of AVM nidus and improvement of associated venous congestion were shown by follow-up CT. There was no recurrence of symptoms after 10 months of clinical observation. Transarterial ethanol sclerotherapy is safe and effective in treating rectal AVM and can be considered as one of the nonsurgical treatment options.

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