A case of De Garengeot’s hernia with acute appendicitis and literature review

Fousekis, Fotios S.; Christou, Panagiota A.; Gkogkos, Spyridon; Aggeli, Panagiota; Pappas-Gogos, George

doi:10.1016/j.ijscr.2018.06.007

Cited by 9 publications

(12 citation statements)

References 14 publications

(14 reference statements)

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“…Femoral hernias constitute an uncommon subtype of groin hernias, representing around 3% of all abdominal wall hernias, and usually appear in elder women [5]. Because of the narrow wall defect, femoral hernias have an increased risk of incarceration.…”

Section: Discussionmentioning

confidence: 99%

“…It is clear that the use of prosthetic mesh is safe in the absence of local complications, such as abscess and local perforation. However, if these or other risk factors for surgical site infection are present, an anatomic repair or an appendectomy followed by interval hernioplasty must be considered [5]. In the event of complications, the laparoscopic approach is a valid option, as it makes the isolation of the mesh from the infected site feasible, decreasing the risk of surgical site infection.…”

Section: Discussionmentioning

confidence: 99%

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De Garengeot’s hernia: Case report and literature review

Recuenco

García

Martín

et al. 2019

International Journal of Surgery Case Reports

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HighlightsDe Garengeot’s hernias constitute an extremely rare condition associated with emergency surgery.Suspicion and experience are crucial for correct management, as no therapeutic or diagnosis consensus has been reached.A single surgical procedure can be performed to treat both pathologies; incarcerated hernia and strangulated appendix.An open preperitoneal approach permits correct visualization of the sac contents and permits appendectomy and hernia repair.When a complication is found, such as local perforation or abscess, a two-step abdominal wall repair should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

De Garengeot’s hernia: Case report and literature review

Recuenco

García

Martín

et al. 2019

International Journal of Surgery Case Reports

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“…The incidence of De Garengeot’s hernia cited in the literature is fewer than 100 cases [ 5 ]. De Garengeot’s hernia is diagnosed most times randomly during surgery and should be distinguished from Amyand hernia, which is defined as inguinal hernia containing the appendix and is a more frequent surgical finding due to higher prevalence of inguinal hernias [ 6 ]. There is little standardization in the literature regarding management, however, as was performed in our case, most authors agree that an appendicectomy and hernia repair is the standard treatment [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

De Garengeot hernia masquerading as a painless groin lump: a case report

Chaudhry

Neduchelyn

Ivanovski

et al. 2021

Journal of Surgical Case Reports

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De Garengeot’s hernia is a rare subtype of femoral hernia in which the appendix is located within the herniated sac. These cases are important to report as both the diagnosis and treatment are quite challenging. We present a case of a 68-year-old gentleman with few months history of a lump in the right groin that gave him mild discomfort but no other symptoms. Initial investigations with an ultrasound did not prove to be helpful and so a plan was made to surgically explore the lump. The appendiceal tip was incarcerated within the hernial sac. The appendix was removed using an open inguinal incision with repair of the defect using a light weight partially absorbable mesh. It is important to consider the possibility of a De Garangeot’s Hernia as a differential diagnosis for patients presenting with a groin lump.

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“…Femoral hernias occur as a weakness and protrusion of abdominal viscera or contents through the femoral canal, bordered superiorly by the inguinal ligament and laterally by the femoral vessels. The femoral hernia is much more common in women and accounts for 3% of all hernias [ 1 ]. Due to its narrow neck, it has a much larger chance of strangulation compared to inguinal hernias and all are recommended for repair [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…The femoral hernia is much more common in women and accounts for 3% of all hernias [ 1 ]. Due to its narrow neck, it has a much larger chance of strangulation compared to inguinal hernias and all are recommended for repair [ 1 , 2 ]. The migration of the appendix into the inguinal hernia sac is known as an Amyand hernia and is very rare.…”

Section: Introductionmentioning

confidence: 99%