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

Chaudhry, Muhammad Anwar; Neduchelyn, Yuwaraja; Ivanovski, Ivan; Sarwar, Hassan

doi:10.1093/jscr/rjab291

Cited by 5 publications

(4 citation statements)

References 10 publications

(11 reference statements)

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“…For example, although Al-Subaie et al 11 describe a similar laparoscopic with TAPP surgical approach, their initial intention for laparoscopy was for diagnostic purposes, whereas our intention was purely for treatment. Usually, De Garengeot hernias will present as a general painful swelling12 and the key imaging modalities recommended are ultrasonography and CT scan. However, ultrasound is highly reliant on skilled operators for diagnosis, and so CT usually performs best in achieving a preoperative diagnosis,13 especially in excluding other sources of acute abdominal pain 14.…”

Section: Discussionmentioning

confidence: 99%

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

Sylvester,

Singh,

Haque

2024

BMJ Case Rep

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This case report involves an elderly woman who presented with a 3-day history of a tender groin swelling on her right side. Her admission bloods were fairly unremarkable, but a preoperative ultrasound impressively confirmed a femoral hernia containing the appendix (De Garengeot hernia) and she underwent emergency laparoscopic hernioplasty with a prosthetic mesh and appendicectomy. The procedure found an incarcerated hernia with a strangulated tip of the appendix that unexpectedly separated upon gentle manipulation and histopathology revealed appendiceal inflammation. There were no complications with the patient’s recovery and she was discharged 2 days after surgery.

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Section: Discussionmentioning

confidence: 99%

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

Sylvester,

Singh,

Haque

2024

BMJ Case Rep

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“…11,12 In other cases, the hernioplasty seems to be a safe procedure and should be used. 21,22 In cases of peritonitis, some authors claims that a midline approach would be the best option in order to exclude intra-abdominal extension of the septic process. 23 On what concerns about the appendix-preserving elective herniorrhaphy/hernioplasty, according to some studies, it seems to be an acceptable procedure if pre-operative imaging and intraoperative findings do not suggest acute appendicitis or circulatory compromise in the appendix.…”

Section: Discussionmentioning

confidence: 99%

De Garengeot hernia in an elderly female: a case report

et al. 2023

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A groin hernia is known as De Garengeot hernia when the appendix is located within the sac of a femoral hernia, with or without associated acute appendicitis. The true incidence of de Garengeot’s hernia is difficult to assess due to its rarity. Most of the times, De Garengeot hernia are presented acutely when incarcerated which turn them indistinguishable from other incarcerated femoral hernias at clinical examination. Treatment of De Garengeot hernia is an emergency, as it is for any femoral hernia incarcerated. After initial resuscitation, surgical treatment is mandatory without further delay. The surgical approach and the options to consider are dependent on the presence of incarceration and of septic environment at the time of diagnosis.

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“…The clinical presentation for de Garengeot hernia is commonly an erythematous groin lump which is irreducible and tender on palpation (Chaudhry et al 2021, Guenther et al 2021). Patients may also present with fever and signs and symptoms in line with bowel obstruction or shock (Tsuruta et al 2021).…”

Section: Discussionmentioning

confidence: 99%

De Garengeot’s hernia: A masked abdominal perforation

Wang

Chander

Shorvon

et al. 2023

Journal of Perioperative Practice

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Introduction: de Garengeot’s hernias occur when an inflamed appendix is encased within a femoral sac. This is a relatively rare type of femoral hernia. As a result, there are currently no guidelines for the management of these hernias. Case: We present a 90-year-old woman with a de Garengeot’s hernia complicated with strangulation and perforation. The diagnosis was made intraoperatively, and it was managed with hernia repair and an appendicectomy. There were no postoperative complications. Discussion: The presentation of de Garengeot’s hernias is non-specific. Enclosure of the bowel content within the hernia sac may mask systemic systems of disease. Rarely, septic signs or symptoms are identified on presentation. It is typically diagnosed intraoperatively, thus prompt emergency surgery should not be delayed by clinicians awaiting precise knowledge of the sac content via imaging. Prompt surgery with a single McEvedy incision enables treatment for both the appendicitis and abdominal wall defect, an appendectomy and hernia repair, respectively. In patients that present with an irreducible femoral hernia and biochemistry suggestive of an acute inflammatory process, there should be a high clinical suspicion for de Garengeot’s hernia due to the risk of perforation being masked by an anatomical encasement around the perforated bowel content.

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

Cited by 5 publications

References 10 publications

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

De Garengeot hernia in an elderly female: a case report

De Garengeot’s hernia: A masked abdominal perforation

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