De Garengeot hernias are femoral hernias that contain the appendix. It is a rare phenomenon, with only 1% of all femoral hernias containing the appendix (and. De Garengeot hernia should be suspected in an elderly woman presenting with signs and symptoms of a strangulated hernia. The differential. Images in Clinical Medicine from The New England Journal of Medicine — De Garengeot’s Hernia.

Author: Dougis Kaziktilar
Country: Mali
Language: English (Spanish)
Genre: Health and Food
Published (Last): 21 October 2013
Pages: 342
PDF File Size: 19.87 Mb
ePub File Size: 16.91 Mb
ISBN: 297-1-36396-351-4
Downloads: 51915
Price: Free* [*Free Regsitration Required]
Uploader: Kegami

The migration of the appendix into the hernia sac in an inguinal hernia is a rare event Amyand hernia and even rarer in incarcerated femoral hernias, which are called Hsrnia Garengeot hernia [3]. The high prevalence among women has been herbia to body changes during pregnancy and other risk factors, including increased intra-abdominal pressure, smoking, advanced age and collagen defects [7].

She last opened her bowel earlier that day. At a three-month follow-up she did not report any postoperative complications. A diagnostic laparoscopy was performed initially. Sources of funding No sources of funding. There was an incidental yarengeot of chronic sigmoid diverticular disease.

Consent Written informed consent was obtained from the patient for publication of this case reportand accompanying images. The patient is usually an elderly female with a few days’ history of a painful groin swelling, suggestive of an incarcerated hernia or a groin abscess. Indexed in Web of Science.

Hernioplasty was performed via the anterior approach to prevent properitoneal contamination. He was initially diagnosed as incarcerated femoral hernia and underwent emergency open surgery. As for the technique to be used, due to the rarity of this disease, it was not possible to establish a standard conduct yet.


Close mobile search navigation Article navigation. A meta-analysis and systematic review.

Proc R Soc Med. Hybrid surgery, laparoscopic appendectomy and hernioplasty via the anterior approach are recommended in patients with de Garengeot hernia with appendicitis. The incarcerated hernia sac was reduced via the extraperitoneum, and it was then ligated and resected via laparoscopy Fig. Laparoscopic total extraperitoneal inguinal hernia repair: It is a rare entity that has fewer hhernia cases reported in literature.

Her abdomen was soft and nontender; there was a palpable, nonerythematous lump in the right groin which was tender to touch and irreducible. Preoperative abdominal CT image of the patient.

De Garengeot’s hernia – Wikipedia

But only inHevin performed the first appendectomy in an incarcerated femoral hernia [4]. One report described a case where the appendix was resected from the caecum via laparoscopy, followed by inguinal incision to remove the appendix and to repair the hernia [ 27 ].

We were able to obtain a correct diagnosis and perform an appendectomy prior to making a groin incision. This has been necessary due to the difficulty in mobilising the base of the appendix through a groin incision, or simply due to clinician choice [ 122526 ]. The same approach can be applied to acute appendicitis occurring within an inguinal hernia also known as Amyand hernia.

We decided to do a diagnostic laparoscopy prior to exploration of the groin. In this case, we performed the appendectomy using the inguinotomy incision. A Penrose drain was placed over this layer.

Swallowing-related quality of life after free flap surgery due to cancer of the head and neck. Abstract Background and Objectives: In Maingot R, editor.

Journal of the Society of Laparoendoscopic Surgeons are provided here courtesy of Society of Laparoendoscopic Surgeons. Colorectal Surgery All Journals search input. Hence, a diagnosis of gaerngeot Garengeot hernia with suspected acute appendicitis was made, and surgery was performed.


De Garengeot’s hernia

A copy of gareengeot written consent is available for review by the Editor-in-Chief of this journal on request. Clinical examination is of limited value in identifying the content of the femoral hernia. Diagnostic laparoscopy could be a valuable tool in the correct diagnosis and management of unusual presentations of incarcerated groin hernias.

The appendix was sent for histological analysis that showed no signs of appendicitis. Citing articles via Web of Science 1.

De Garengeot hernia: Case report and review

Both had open femoral hernia repair, one with appendectomy and one with the appendix left in situ. We were also able to anticipate the contents of the hernia before opening the sac.

Dissection was carried down to the gxrengeot of the sac, which was then ligated, followed by excision of the sac. Therefore, selection of the appropriate surgical approach to prevent wound infection is important, especially in the presence of appendicitis.

The preoperative diagnosis is difficult, and most patients end up being taken to the operating room with the nonspecific diagnosis of jernia hernia. A groin ultrasound scan showed an approximately 5. A major portion of the appendix was seen to pass through a defect adjacent to the inguinal ligament.

The appendix being present within a femoral hernia is an unusual incidental finding at surgery, occurring in 0. The mass was firm to palpation and nonreducible, with erythema of the overlying skin.