De Garengeot hernias. Over a century of experience. A systematic review of the literature and presentation of two cases

Chatzikonstantinou, Michail; Toeima, Mohamed; Ding, Tao; Qazi, Almas; Aston, N. O.

doi:10.1080/00015458.2020.1841484

Cited by 4 publications

(4 citation statements)

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“…Reflecting the higher incidence of femoral hernias in women, the De Garengeot hernia affects predominately postmenopausal women, at least four times more comparing to men according to some studies. 5,[11][12][13][14] Two main theories try to explain this rare condition. The first one emphasizes on abnormal attachment of appendix to the caecum secondary to embryogenic rotations, and the second one claims that a large caecum can push the appendix into the femoral hernia sac.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of peritonitis, gross contamination, namely with faecal content, are considered formal contra-indications for the use of mesh repair and, in those cases, a tissue repair procedure must be the preferred option. 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.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

De Garengeot hernia in an elderly female: a case report

et al. 2023

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“…The subtype of femoral hernia is rare, so there are no specific guidelines for surgical procedure. Approaches used for repairing a femoral hernia include the Lockwood infra-inguinal, Lotheissen transinguinal and McEvedy high incision (Chatzikonstantinou et al 2022, Shamim 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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“…Die Prävalenz der De-Garengeot-Hernie wird mit ca. 1 % aller Femoralhernien angegeben; die akute Appendizitis in Verbindung mit einer De-Garengeot-Hernie stellt eine Rarität dar 1 2 3 .…”

Section: Erläuterungunclassified