A case of De Garengeot hernia requiring early surgery

Pan, Chao-Wen; Tsao, Min-Jen; Su, Ming-Shan

doi:10.1136/bcr-2015-211102

Cited by 10 publications

(5 citation statements)

References 20 publications

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“…Overall pre-operative diagnosis has been shown to be around 14%. Our patients de Garengeot hernia was diagnosed on CT imaging, the gold standard for diagnosing and visualizing the inflamed appendix within the femoral hernia sac [7]. Hence, our case may highlight the importance of CT imaging in the workup of patients with atypical or confusing presentations.…”

Section: Discussionmentioning

confidence: 66%

Atypical presentation of a de Garengeot Hernia: A Case Report

Pasternak¹,

Melland-Smith²

2018

SCR

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Introduction: An inflamed appendix found within a femoral hernia, a de Garengeot hernia, is a rare occurrence which can present with a variety of different symptoms and be a challenge to surgical management. Case Presentation: We present the case of a 59-year-old female who presented with migratory right lower quadrant pain and was found to have a de Garengeot hernia diagnosed pre-operatively on CT imaging. She was taken to the OR for an urgent laparoscopic appendectomy with closure of the femoral hernia sack. Given this is not a true repair, the patient was scheduled for an elective femoral hernia repair subsequently. Discussion: This is the first report of a de Garengeot hernia from the Toronto area. Our case is the first of its kind to present with typical signs of appendicitis without any obvious bulge in the groin. Conclusion: This case report describes two very common acute surgical presentations, appendicitis and incarcerated hernia, seen simultaneously with only one rare pathology.

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Section: Discussionmentioning

confidence: 66%

Atypical presentation of a de Garengeot Hernia: A Case Report

Pasternak¹,

Melland-Smith²

2018

SCR

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“…Clinically, De Garengeot hernia has largely been reported to present in an emergency setting with patients complaining of a several-day history of a painful, irreducible groin lump with local erythematous changes 6 7. Most of the times, De Garengeot hernias are diagnosed intraoperatively as an incidental finding,2 6 with a limited number of reports suggesting a role for a preoperative CT scanning in establishing the diagnosis 8 9. Although there is no established guideline on its management, the general consensus is an emergency surgery with either an open or laparoscopic approach to remove the appendix and to fix the femoral hernia 10…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of De Garengeot hernia

Lee¹,

Mantelakis

Nahid

et al. 2019

BMJ Case Rep

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De Garengeot hernia describes a rare phenomenon in which a vermiform appendix is found in a femoral hernia sac. We describe a case of De Garengeot hernia presenting as a groin lump associated with loss of appetite, weight loss and fatigue. A 72-year-old woman was referred to our rapid access 2-week clinic as isolated lymphadenopathy with a 4-week history of a gradual right groin swelling accompanied by an unintentional weight loss, lethargy and anorexia. An urgent excisional lymph node biopsy was performed preceding the CT scan of the chest, abdomen and pelvis. The biopsy showed a shaving of appendix wall, and the CT scan revealed a right-sided femoral hernia with appendix as its content. The patient was urgently contacted for a laparoscopic appendicectomy and an open right femoral hernia repair. The patient recovered well postoperatively, and her systemic symptoms fully resolved when reviewed 10 weeks after the operation.

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“…It is important to differ between de Garengeot hernia and Amyand hernia which is characterized by a vermiform appendix in an inguinal hernia sac. The incidence of this also rare entity is 1 % [3,4]. Amyand hernia is more often reported in men whereas de Garengeot hernia is more often observed in postmenopausal women [5].…”

Section: Discussionmentioning

confidence: 99%

De Garengeot hernia - Uncommon cause of a right groin pain

Anheier¹,

Kh²

2018

Clin Case Studie Rep

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De Garengeot hernia is described as the appendix vermiformis in a femoral hernia sac. It is a very rare disease with difficulties in diagnosis and therapy. Most patients present with a painful swelling in the right groin. Open and laparoscopic surgery is described. We present the case of a de Garengeot hernia and laparoscopic appendectomy with simultaneous transabdominal preperitoneal hernia repair (TAPP) and a review of the literature.

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A case of De Garengeot hernia requiring early surgery

Cited by 10 publications

References 20 publications

Atypical presentation of a de Garengeot Hernia: A Case Report

Atypical presentation of a de Garengeot Hernia: A Case Report

Unusual presentation of De Garengeot hernia

De Garengeot hernia - Uncommon cause of a right groin pain

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