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

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.

scholarly journals P155 DE GARENGEOT HERNIA: A CASE REPORT

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Enrico Ferri ◽  
Melania Claudia Fanelli ◽  
Lorenzo Latham ◽  
Davide Inversini ◽  
Murad Odeh ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Hernia ◽  
Open Appendectomy ◽  
Rare Type ◽  
Hernia Sac ◽  
The Us ◽  
Direct Hernia ◽  
Surgical Options ◽  
De Garengeot’S Hernia ◽  
De Garengeot Hernia

Abstract Aim “The De Garengeot’s hernia, from Rene De Garengeot, who was the first to describe the appendix inside a femoral hernia sac in 1731, is a rare type of crural hernia. The diagnosis is challenging and surgery must be performed without delay. The incidence of appendicitis in this type of hernia is about 0.08-0.13%. The aim of this work is to describe our experience in the management of this rare subtype of hernia in a 82-year-old women” Material and Methods “A 82-year-old patient with a right groin bulge presented to the Emergency. At the physical examination the abdomen was treatable; there was no sign of bowel obstruction. Blood test values were normal, except for a high PCR value. The US of the groin region demonstrated a right femoral hernia containing a bowel tract, irreducible at the probe’s pressure. The patient underwent surgery, with diagnosis of De Garengeot’s hernia; a direct hernia repair followed by an open appendectomy were performed. The patient did not present any complications and was discharged on the second postoperative day” Results “The De Garengeot hernia is a rare entity that requires an early treatment; the preoperative diagnosis is difficult and often clinical features are similar to a common incarcerated hernia. There are many surgical options for the management of the De Garengeot hernia, but there is not a consensus for the best surgical approach” Conclusions “De Garengeot's hernia is rare, being indistinguishable from an incarcerated femoral hernia in general. This case report is about a De Garengeot’s hernia patient, who presented a good recovery after surgery.”

scholarly journals De Garengeot's hernia: diagnosis and surgical management of a rare type of femoral hernia

2014 ◽  
Vol 2014 (2) ◽  
pp. rju008-rju008 ◽  
Author(s):  
J. Ramsingh ◽  
A. Ali ◽  
C. Cameron ◽  
A. Al-Ani ◽  
R. Hodnett ◽  
...  
Keyword(s):  
Surgical Management ◽  
Femoral Hernia ◽  
Rare Type ◽  
De Garengeot’S Hernia

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 Appendicitis in De Garengeot's Hernia Presenting as a Nontender Inguinal Mass: Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
K. Ahmed ◽  
K. Bashar ◽  
T. J. McHugh ◽  
S. M. McHugh ◽  
E. Kavanagh
Keyword(s):  
Femoral Hernia ◽  
Perforated Appendicitis ◽  
Hernia Sac ◽  
Inguinal Mass ◽  
Uncommon Presentation ◽  
Preoperative Ct ◽  
Perforated Appendix ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
Low Sensitivity

Introduction. De Garengeot first described a femoral hernia containing the appendix in 1731. Appendicitis occurring in this rare clinical setting represents a challenge in diagnosis and management.Case Presentation. We present the case of a 71-year-old male with a three-day history of a nontender inguinal mass. Computed tomography (CT) suggested a femoral hernia. Intraoperatively, the hernia sac was noted to contain a perforated appendix.Discussion. This is an infrequently reported clinical scenario and only the 14th reported case in peer-reviewed literature which includes preoperative CT images. Our case adds to previously reported low sensitivity of CT for diagnosing De Garengeot’s hernia. Furthermore, unlike our case the vast majority of previous reports noted a painful inguinal swelling.Conclusion. Perforated appendicitis in a femoral hernia is an extremely uncommon presentation. However, consideration should be given to De Garengeot’s hernia in patients with a groin mass, even if nontender.

De Garengeot's Hernia: Incarcerated Femoral Hernia Containing the Vermiform Appendix. Report of Two Cases and Literature Review

2017 ◽  
Vol 95 (3) ◽  
pp. 177-178 ◽  
Author(s):  
Natalia González Alcolea ◽  
Félix Martínez Arrieta ◽  
José Luis Lucena de la Poza ◽  
Elena Jiménez Cubedo ◽  
Víctor Sánchez Turrión
Keyword(s):  
Literature Review ◽  
Femoral Hernia ◽  
Vermiform Appendix ◽  
De Garengeot’S Hernia

scholarly journals De Garengeot's hernia: a case of acute appendicitis in a femoral hernia sac

2013 ◽  
Vol 19 (4) ◽  
pp. 380-382 ◽  
Author(s):  
Ceren Sen Tanrikulu ◽  
Yusuf Tanrikulu ◽  
Nezih Akkapulu
Keyword(s):  
Acute Appendicitis ◽  
Femoral Hernia ◽  
Hernia Sac ◽  
De Garengeot’S Hernia

De Garengeot’s hernia in an elderly woman as a diagnostic challenge: a review of literature

2021 ◽  
Vol 14 (1) ◽  
pp. e237526
Author(s):  
Zeeshan Saboor Ahmed ◽  
Sufyan Azam ◽  
Ayeshea Shenton ◽  
Akinfemi Ayobami Akingboye
Keyword(s):  
Femoral Hernia ◽  
Elderly Woman ◽  
Final Diagnosis ◽  
Diagnostic Challenge ◽  
Midline Laparotomy ◽  
Hernia Sac ◽  
Blind Ending ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
The Right

De Garengeot’s hernia is the presence of an appendix in a femoral hernia and can be a rare cause of an acute groin swelling. Here, we present a case report of an elderly woman who was referred to us with a short history of a painful, tender lump in the right groin associated with nausea and vomiting. Her inflammatory markers were raised, and to establish a final diagnosis, an urgent CT scan was requested which showed a blind ending tubular structure in a hernia sac. She was taken to the theatre for urgent exploration of the groin which revealed that it was a femoral hernia, the sac of which contained gangrenous appendix, the base of which could not be accessed through the groin incision and, therefore, a lower midline laparotomy incision was made and a formal appendicectomy was done.

scholarly journals De Garengeot’s hernia with appendicitis—a rare cause of an acutely painful groin swelling

2019 ◽  
Vol 2019 (5) ◽  
Author(s):  
Adam O’Connor ◽  
Peter Asaad
Keyword(s):  
Acute Appendicitis ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Vermiform Appendix ◽  
Short Review ◽  
Review Of The Literature ◽  
Hernia Sac ◽  
De Garengeot’S Hernia ◽  
De Garengeot Hernia ◽  
Groin Swelling

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.

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.”

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