Diagnosis and operative management of a perforated de Garengeot hernia

Bloom, Alexi; Baio, Flavio E.; Kim, Keemberly; Fernandez-Moure, Joseph; Reader, Michael M.

doi:10.1016/j.ijscr.2017.10.009

Cited by 9 publications

(9 citation statements)

References 6 publications

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“…To our knowledge, the combination of GH and sessile serrated adenoma has not been described in the literature. We found a case with GH and low-grade mucinous neoplasm [ 7 ], two cases with appendiceal diverticulosis [ 8 ] and a case with a small lymphocytic lymphoma within GH [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Femoral hernia with vermiform appendix herniation: a case report and review of the literature

Papatheofani

Estaller

Hoffmann

2021

Journal of Surgical Case Reports

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Section: Discussionmentioning

confidence: 99%

Femoral hernia with vermiform appendix herniation: a case report and review of the literature

Papatheofani

Estaller

Hoffmann

2021

Journal of Surgical Case Reports

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“…While there is no consensus or clear recommendations about the best surgical approach to be carried out [10] due to the literature scarcity related to this subject, appendectomy and hernia repair remain the gold standard [13] .…”

Section: Discussionmentioning

confidence: 99%

De Garengeot hernia doubly complicated: A case report

Mejri

Omry

Arfaoui

et al. 2021

International Journal of Surgery Case Reports

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Introduction A strangulated De Garengeot's hernia with appendicitis is an extremely rare surgical presentation. Therefore, the diagnosis is challenging, and there are no recommendations regarding a specific surgical approach. Presentation of case We present the case of a 56-year-old woman with a De Garengeot's hernia doubly complicated: strangulated and with appendicitis in the hernia sac. The diagnosis was made intraoperatively, and it was managed fully through a single inguinal incision. No postoperative complication was presented, and the patient was discharged 48 h after. Discussion The clinical presentation of this sub-type of hernia is non-specific. Precise knowledge of the hernia sac content preoperatively is not mandatory, and it should not delay prompt emergency surgery. As long as there are no local signs of complicated appendicitis, a single inguinal incision may be sufficient to perform appendectomy and hernia repair. In the event of complicated appendicitis, an exploratory of the abdominal cavity is mandatory, and hybrid approaches are recommended. For an experienced surgeon, the laparoscopic approach (TAPP), including the treatment of the two pathologies and the exploration of the peritoneal cavity, represents the surgical technique of choice. Conclusion De Garengeot's strangulated hernia with appendicitis is an exceedingly rare double surgical emergency. When uncomplicated appendicitis, a single inguinal incision is sufficient to treat both appendicitis and abdominal wall defect. Hernia reduction, which young surgeons in the emergency room commonly attempt, should be abolished.

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“…Unlike male predominant Amyand’s herniae, characterized by an appendix within an inguinal hernia, de Garengeot herniae have been found to affect primarily postmenopausal females [ 4 ]. The anatomic position of the appendix produces de Garengeot herniae on the right side, associated with the potential for ischemia and appendicitis [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Case study: diagnosis and operative management of de Garengeot hernia without appendectomy during the COVID-19 pandemic

Chagares¹,

Patel

Fotopoulos

2020

Journal of Surgical Case Reports

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de Garengeot herniae have been reported in <100 cases in literature. They are characterized by an incarcerated femoral hernia containing the appendix. We present the case of a 45-year-old female who, upon emergency intraoperative consultation to a general surgeon while having a right groin exploration by a plastic surgeon, was found to have an appendix incarcerated within a femoral hernia. There was no evidence of appendicitis; thus, appendix was reduced and the hernia was repaired with a mesh plug. The patient did well postoperatively, with no complications and returned to complete activities. This occurred during the coronavirus disease (COVID-19) pandemic. Due to the common failure in preoperative diagnosis, it is important for surgeons to have a clinical suspicion for de Garengeot herniae for patients, presenting with a right groin bulge. Appendectomy may be safely avoided, eliminating appendectomy-associated morbidity and avoiding hospital transfer and the associated risk of COVID-19 exposure.

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Diagnosis and operative management of a perforated de Garengeot hernia

Cited by 9 publications

References 6 publications

Femoral hernia with vermiform appendix herniation: a case report and review of the literature

Femoral hernia with vermiform appendix herniation: a case report and review of the literature

De Garengeot hernia doubly complicated: A case report

Case study: diagnosis and operative management of de Garengeot hernia without appendectomy during the COVID-19 pandemic

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