De Garengeot’s Hernia: Acute Appendicitis in a Femoral Hernia. Case Report and Literature Overview

Snoekx, Rob; Geyskens, P.

doi:10.1080/00015458.2014.11681000

Cited by 8 publications

(6 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopy may be a valid technique for determining the condition of the hernia, but due to the difficulty of preoperative diagnosis it is unlikely to be the first choice for the surgical approach. In fact, in our review only three cases underwent laparoscopy [ 18 , 39 , 48 ], and only one of them had a preoperative diagnosis of GH [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Garengeot’s hernia: two case reports with CT diagnosis and literature review

García-Amador¹,

Plaza

Arteaga

et al. 2016

Open Medicine

View full text Add to dashboard Cite

AbstractGarengeot’s hernia (GH) is defined as the presence of the appendix inside a femoral hernia. It occurs in 0.9% of femoral hernias and is usually an incidental finding during surgery. Its treatment is controversial and the aim of this article is to review the diagnostic methods and surgical considerations.We report two cases diagnosed preoperatively by contrast-enhanced computed tomography (CT) and discuss the treatment options based on a review of the literature published in PubMed updated on 1 December, 2015.Fifty articles reporting 64 patients (50 women, mean age 70 years) with GH were included in the analysis. Diagnosis was performed by preoperative CT in only 24 cases, including our two. The treatment of GH is emergency surgery. Several options are available laparoscopic or open approach: insertion of a mesh or simple herniorrhaphy, with or without appendectomy.ConslusionThe preoperative diagnosis with CT can guide the choice of treatment. Appendectomy and hernioplasty should be performed via inguinotomy, if there is no perforation or abscess formation.

show abstract

Section: Discussionmentioning

confidence: 99%

Garengeot’s hernia: two case reports with CT diagnosis and literature review

García-Amador¹,

Plaza

Arteaga

et al. 2016

Open Medicine

View full text Add to dashboard Cite

show abstract

“…Once the diagnosis of a De Garengeot’s hernia has been established, open surgery is still considered the standard procedure. Unlike some authors who preconize a staged treatment of the pathology, 18 we recommend a laparoscopic TAPP approach without delay from the beginning. The TAPP procedure provides the possibility to inspect the pelvic and intraabdominal cavity in toto and to select the best alternative surgical procedure.…”

Section: Discussionmentioning

confidence: 89%

Appendix-Sparing Transabdominal Preperitoneal Laparoscopic Hernioplasty for a De Garengeot’s Hernia: Video Demonstration

Gómez-Portilla¹,

Merino²,

Heredia³

et al. 2021

CRSLS

View full text Add to dashboard Cite

Background and Objectives: Less than 300 cases of a De Garengeot’s hernia have been published. This rare femoral hernia with the vermiform appendix included appears almost exclusively on the right side, mainly in females, and it generally debuts as an incarcerated femoral hernia. Although most of the times there is a concomitant appendicitis, clinical signs of peritonitis are absent. The wide use of radiologic exams has not favored its preoperative diagnosis, but been usually found incidentally during a surgical emergency. The best surgical approach to a De Garengeot’s hernia is not totally defined and many critical questions still remain unanswered. Open surgery is considered the standard treatment procedure, but since the emergence of laparoscopy for incarcerated hernias, this is certainly an option. Methods: We report the successful laparoscopic management of an 83-year-old woman who had been operated on her right inguinal hernia, with a Rutkow-Robbins’ technique, 4 months earlier. She had noticed the protrusion of a lump in her right inguinal region for 2 months. Radiological studies were not conclusive. With a miss diagnosis of a recurrent incarcerated inguinal hernia, a minimal invasive endoscopic approach was performed. A representative case of this fully laparoscopic TAPP procedure is presented. Results: The patient made an uninterrupted recovery. She left the hospital the day after in a stable condition and has enjoyed good health since. Conclusion: A fully laparoscopic TAPP approach seems perfectly safe and feasible to treat this entity, and could be considered the first line alternative when enough expertise is available.

show abstract

“…There have been other cases in the literature reporting using secondary laparoscopy as an alternative, even one utilizing the hernia defect as a port site 10,11 . In a recent metaanalysis looking at 90 de Garengeot's cases reported in the literature, 64% reported using solely an inguinal approach, whereas 3% took a combined laparoscopic and inguinal approach, and 6% using a combined inguinal approach with laparotomy 5 .…”

Section: Discussionmentioning

confidence: 99%

Femoral Hernia Appendicitis: A Case Report and Management of a De Garengeot’s Hernia

Hoef¹,

Kamil²,

Hogan³

2021

wjsurgy

View full text Add to dashboard Cite

A De Garengeot’s hernia is rare surgical phenomenon in which a femoral hernia contains the appendix. It can be asymptomatic or present as a tender lump, and may predispose to a hernia-contained case of appendicitis. We present the case of a 76-year-old female who presented to our outpatient department complaining of a tender rightsided groin lump. Diagnosis of this rare hernia is often made intra-operatively, but, in this case, a CT scan was performed preoperatively which provided guidance for safe surgical planning.

show abstract

De Garengeot’s Hernia: Acute Appendicitis in a Femoral Hernia. Case Report and Literature Overview

Cited by 8 publications

References 1 publication

Garengeot’s hernia: two case reports with CT diagnosis and literature review

Garengeot’s hernia: two case reports with CT diagnosis and literature review

Appendix-Sparing Transabdominal Preperitoneal Laparoscopic Hernioplasty for a De Garengeot’s Hernia: Video Demonstration

Femoral Hernia Appendicitis: A Case Report and Management of a De Garengeot’s Hernia

Contact Info

Product

Resources

About