Inflammation of the vestigial vermiform appendix is one of the main causes of acute abdomen in emergency departments. Clinical manifestations may vary according to the patient's age, position and size of the appendix. The diagnosis is eminently clinical, and may present laboratory and imaging alterations, contributing to diagnostic confirmation. In view of the variety of clinical manifestations and differential diagnoses of the acute abdomen, the diagnosis can be challenging. Considering that the late recognition of this condition can lead to serious complications, one should be clear about the possible clinical, laboratory and imaging findings. With that, the objective of this work was to present a clinical case and a review of the literature on the clinical findings present in acute appendicitis, contributing to the early diagnosis. To support the work, current bibliographical references were used, searching for articles in the PubMed, Scielo and Lilacs databases.
Introduction: Garengeot's hernia is a condition that is difficult to diagnose. Objective: to reflect on the difficulties in diagnosing Garengeot's hernia. Method: a systematic review was used using databases enshrined in the Health Science literature. Discussion: the diagnosis of Garengeot's Hernia can be an arduous task, even with the use of physical, ultrasound, laboratory, and imaging examinations; this is because these tests may not be able to accurately confirm the diagnosis of this rare condition. Conclusion: Although computed tomography has high sensitivity and specificity, it is possible that, in some circumstances, it does not provide an accurate diagnosis of the referred pathology.
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