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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This paper reports a rare case of incarcerated femoral hernia containing the appendix inside his sac. Showed unchanged bowel habit in gernia period, denied garengeor or other associated symptoms.

On the other hand, the rate of recurrence was significantly lower in the mesh treated group [ 33 ]. 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.

In our case, laparoscopic findings revealed an inflamed and necrotic appendix.

De Garengeot hernia: Case report and review

Swallowing-related quality of life after free flap surgery due to cancer of the head and neck. The presence of acute appendicitis within a de Garengeot hernia is rarer, with an incidence of 0. A meta-analysis and systematic review. Rene Jacques Croissant Gatengeot Garengeot, a French surgeon, was the first to describe the presence of the appendix inside a incarcerated femoral hernia in The appendix is removed in most cases. The vermiform appendix is a blind ended tubular structure connected to the caecum.

Author information Copyright and License information Disclaimer. Authors in such cases reason that it is the delay in surgical intervention rather than the method of hernia repair which influences the risk of surgical site infection [ 182932 ].

The inferior portion of the inguinal ligament and the pectineus fascia were then approximated by using 0 polypropylene sutures.


However, as demonstrated in patient 2, appendix which is visually confirmed healthy could be reduced and left in situ without compromising the postoperative outcome, whereas resection of a healthy appendix can lead to unnecessary infection risks [ 29 ]. Case 1 year-old woman was referred by her General Practitioner to the Emergency Department with a one-week history of a moderately painful irreducible lump in her right groin, associated with nausea and vomiting.

She last opened her bowel earlier that day. National Center for Biotechnology InformationU. National Center for Biotechnology InformationU. This type of hernia usually presents with therapeutic dilemmas, especially because of the risk of surgical site infection SSI.

A mobile caecum, large caecum or visceroptosis is also considered a risk factor for de Garengeot hernia [ 14 ]. A year-old female was referred as an emergency by her General Practitioner with a two-week history of a painless irreducible lump in the right groin.

Radiological findings are often non-specific. To the best of our knowledge, this approach has never been described before. Both patients were systemically well with no bowel symptoms; this is despite patient 1 having an obstructed and partially strangulated hernia. The mesoappendix and the base of the appendix were then stapled and transected separately.

Femoral hernia is more common in women, especially in postmenopausal women. JD, male, 86 years, referred to the emergency department of garengrot reference service in General Surgery with complaints of painful bulging in the right inguinal region during the last four days. Oxford University Press is a department of the University of Oxford.

Discussion De Garengeot hernia is a rare entity hernnia requires early treatment in order to avoid possible complications. An incision was made externally over the right groin swelling and then carried down to the hernia sac, which appeared to be a femoral hernia.


Note the oral contrast in the colon, past the ileocaecal junction.

De Garengeot hernia: Case report and review

However, in recent years mesh repair has been used in some cases without any reported complications. A unique case of xanthogranulomatous cholecystitis complicated by multiple liver abscesses and portal vein and hepatic artery thrombosis and occlusion.

Regarding the use of polypropylene mesh there is consensus that if there is no abscess or appendix perforation it is possible to use it without increasing chances of infection or hernia recurrence [7]. It is a rare condition that presents with a swelling mass in the groin, which is often tender. Case report JD, male, 86 years, referred to the emergency department of a reference service in General Surgery with complaints of painful bulging in the right inguinal region during the last four days.

We wish to underline the usefulness of laparoscopy in both the diagnosis and treatment of de Garengeot hernias. Hernia, Appendicitis, de Garengeot, Diagnostic laparoscopy. The incarcerated hernia sac was reduced via the extraperitoneum, and it was then ligated and resected via laparoscopy Fig.

De Garengeot hernia | Radiology Reference Article |

These patients seldom develop signs of peritonitis, as the inflamed appendix is isolated from the peritoneal cavity by the tight neck of the hernia sac. There was no evidence of perforation of the caecum or the appendix neither was there a periappendiceal collection. Diagnostic laparoscopy could be a garenggeot tool in the correct diagnosis and management of unusual presentations of incarcerated groin hernias.

Herina copy of the written consent is available for review by the Editor-in-Chief of this journal on request.