A De Garengeot Hernia masquerading as a strangulated femoral hernia

Hussain, Abdullah; Slesser, Alistair; Monib, Sherif; Maalo, Joseph; Soskin, M.; Arbuckle, Jacquelynn D.

doi:10.1016/j.ijscr.2014.08.001

Cited by 28 publications

(32 citation statements)

References 11 publications

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“…Some suggest that intraluminal obstruction initiates inflammatory changes in the appendix leading to subsequent migration of the appendix into the hernia sac. However, others suggest migration of the appendix is the initial event, and the narrow rigid neck of the femoral sac causes incarceration and strangulation of the appendix 8. This seems consistent with our patient because no obvious intraluminal obstruction was noted and haemorrhage in the periappendiceal soft tissue was present.…”

Section: Discussionsupporting

confidence: 90%

A case of De Garengeot hernia requiring early surgery

Pan

Tsao

2015

BMJ Case Reports

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De Garengeot hernia is a rare clinical entity defined as the presence of a vermiform appendix within a femoral hernia sac. A 50-year-old woman presented to the emergency department with a painful lump over her right groin region. A bedside ultrasound was performed and soft tissue lesion was suspected. CT was performed and revealed a swollen tubular structure with fat stranding within the mass. De Garengeot hernia with acute appendicitis was diagnosed preoperatively, and an emergency appendectomy and hernioplasty were performed. Although it is usually an incidental finding during hernioplasty, De Garengeot hernia should be considered in the differential diagnosis of patients with an incarcerated femoral hernia. Mesh repair can be performed depending on the clinical situation. We report a rare case of incarcerated femoral hernia with acute appendicitis that required early surgical management to avoid associated complications.

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Section: Discussionsupporting

confidence: 90%

A case of De Garengeot hernia requiring early surgery

Pan

Tsao

2015

BMJ Case Reports

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“…Laparoscopic appendectomy and hernioplasty via anterior approach is recommended in some cases in order to prevent surgical site infection and mesh contamination . Simple suture hernioplasty instead of mesh repair is suggested by a number of authors for the same reason . In our case, we performed the appendectomy and the mesh hernioplasty through the same incision without any signs of surgical site contamination.…”

Section: Discussionmentioning

confidence: 82%

Α very rare case of De Garengeot’s hernia: Acute appendicitis within a femoral hernia

Filippou

Fanidou

Alvanos

et al. 2018

Clinical Case Reports

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Key Clinical MessageDe Garengeot's hernia is a rare clinical entity. Appropriate and acute diagnosis in emergency basis is challenging (usually misdiagnosed as incarcerated femoral hernia), and the surgical management varies from case to case. This report emphasizes the importance of including De Garengeot's hernia in the differential diagnosis of incarcerated groin hernias and the need to establish a well‐defined strategy regarding surgical management options.

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“…Clinical examination is of limited value in identifying the content of the femoral hernia. In all of the reviewed case reports, including our case, ultrasound has not been reported as able to diagnose a de Garengeot's hernia [2, 15–18]. Depending on protocol and reporting expertise, CT has demonstrated some value, with only 4 reported cases where CT has given the correct diagnosis [17, 19–21].…”

Section: Discussionmentioning

confidence: 82%

“…This phenomenon is thought to occur in 0.5% to 3% of femoral hernia cases, with a female : male ratio of around 6 : 1 [2, 3]. …”

Section: Introductionmentioning

confidence: 99%

De Garengeot’s Hernia: Two Case Reports with Correct Preoperative Identification of the Vermiform Appendix in the Hernia

Jin

Imtiaz

Nnajiuba

et al. 2016

Case Reports in Surgery

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We present two cases of incarcerated de Garengeot's hernia. This anatomical phenomenon is thought to occur in as few as 0.5% of femoral hernia cases and is a rare cause of acute appendicitis. Risk factors include a long pelvic appendix, abnormal embryological bowel rotation, and a large mobile caecum. In earlier reports operative treatment invariably involves simultaneous appendicectomy and femoral hernia repair. Both patients were correctly diagnosed preoperatively with computed tomography (CT). Both had open femoral hernia repair, one with appendectomy and one with the appendix left in situ. Both patients recovered without complications. Routine diagnostic imaging modalities such as ultrasonography and standard CT have previously shown little success in identifying de Garengeot's hernia preoperatively. We believe this to be the first documented case of CT with concurrent oral and intravenous contrast being used to confidently and correctly diagnose de Garengeot's hernia prior to surgery. We hope that this case report adds to the growing literature on this condition, which will ultimately allow for more detailed case-control studies and systematic reviews in order to establish gold-standard diagnostic studies and optimal surgical management in future.

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A De Garengeot Hernia masquerading as a strangulated femoral hernia

Cited by 28 publications

References 11 publications

A case of De Garengeot hernia requiring early surgery

A case of De Garengeot hernia requiring early surgery

Α very rare case of De Garengeot’s hernia: Acute appendicitis within a femoral hernia

De Garengeot’s Hernia: Two Case Reports with Correct Preoperative Identification of the Vermiform Appendix in the Hernia

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