De Garengeot Hernia: A Case Report and Review of Literature

Shah, Aashish; Janardhan, Haridarshan Sira

doi:10.1007/s12262-012-0778-z

Cited by 15 publications

(14 citation statements)

References 3 publications

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“…Access to peritoneal cavity is of particular importance in cases of strangulated small bowel, and in this case, an incarcerated appendix which appendicectomy had not been possible without entering the abdominal cavity. Previously described case reports had similar problems with inaccessible base of appendix, and some authors have opted to make a second Lanz incision to perform the appendicectomy [3] or laparotomy [14] . In a previous review, most surgeons opted for the inguinal approach, some converted from laparoscopic to standard oblique inguinal, and another case describes repair by the McEvedy approach [5] .…”

Section: Discussionmentioning

confidence: 99%

“…The clinical picture is generally indistinguishable from that of an incarcerated femoral or inguinal hernia, and features of bowel obstruction have also been reported [3] , [5] , [10] . The nature of the anatomy of the femoral canal limits the spread of intraperitoneal infection, and patients are more likely to present with local signs of tenderness and erythema rather than general intra-abdominal signs of peritonitis [13] , [14] . Documentation of acute appendicitis within a femoral hernia by CT is also extremely rare.…”

Section: Discussionmentioning

confidence: 99%

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De Garengeot hernia—Use of a novel surgical approach and literature review

Mizumoto¹,

Hendahewa²,

Premaratne³

2016

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

De Garengeot hernia—Use of a novel surgical approach and literature review

Mizumoto¹,

Hendahewa²,

Premaratne³

2016

International Journal of Surgery Case Reports

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“…The most common presentation of de Garengeot's hernia from previous reports is that of an enlarging, painful, or irreducible preexisting right groin lump [10]. Occasionally patient may have generalised abdominal symptoms [3, 11] and systemic symptoms [6]. Three reported cases were associated with obstruction, one due to involvement of the small bowel [12] and two due to peritonitis and sepsis [6, 11, 13].…”

Section: Discussionmentioning

confidence: 99%

“…Occasionally patient may have generalised abdominal symptoms [3, 11] and systemic symptoms [6]. Three reported cases were associated with obstruction, one due to involvement of the small bowel [12] and two due to peritonitis and sepsis [6, 11, 13]. Very rarely the appendix can also herniate via the left groin [7, 14].…”

Section: Discussionmentioning

confidence: 99%

De Garengeot’s Hernia: Two Case Reports with Correct Preoperative Identification of the Vermiform Appendix in the Hernia

Jin

Imtiaz

Nnajiuba

et al. 2016

Case Reports in Surgery

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We present two cases of incarcerated de Garengeot's hernia. This anatomical phenomenon is thought to occur in as few as 0.5% of femoral hernia cases and is a rare cause of acute appendicitis. Risk factors include a long pelvic appendix, abnormal embryological bowel rotation, and a large mobile caecum. In earlier reports operative treatment invariably involves simultaneous appendicectomy and femoral hernia repair. Both patients were correctly diagnosed preoperatively with computed tomography (CT). Both had open femoral hernia repair, one with appendectomy and one with the appendix left in situ. Both patients recovered without complications. Routine diagnostic imaging modalities such as ultrasonography and standard CT have previously shown little success in identifying de Garengeot's hernia preoperatively. We believe this to be the first documented case of CT with concurrent oral and intravenous contrast being used to confidently and correctly diagnose de Garengeot's hernia prior to surgery. We hope that this case report adds to the growing literature on this condition, which will ultimately allow for more detailed case-control studies and systematic reviews in order to establish gold-standard diagnostic studies and optimal surgical management in future.

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“…The femoral hernia represents 3% of the abdominal hernias [6] . The De Garengeot’s hernia is a rare entity, comprehending only 0,5 to 5% of the femoral hernias [2] .…”

Section: Introductionmentioning

confidence: 99%

Treatment of De Garengeot’s hernia using De Oliveira’s technic: A case report and review of literature

Couto

Figueiredo

Meira

et al. 2016

International Journal of Surgery Case Reports

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IntroductionThe French surgeon Rene Jacques Croissant de Garengeot first described the finding of the Appendix inside a femoral hernia sac in 1731. The De Garengeot’s hernia is a rare entity, comprehending only 0.5–5% of the femoral hernias. The pathogenesis of this entity is still controversial, and in the same way, there are different theories to explain the occurrence of appendicitis inside the De Garengeot’s hernia. There is no standard technique in the treatment of this entity.Presentation of caseW.P.S., 84, female, admited for medical assistance due to claims of edema and flogistic signs in the right inguinal region, noted four days prior. There was no abdominal pain, discomfort, or other symptoms. The physical examination showed hard edema and bulging on the right inguinal region, colaborating for the hipotesis of incarcerated hernia. Patient was then submitted to inguinotomy and the vermiform Appendix was discovered inside the femoral hernia without signs of appendicitis. The case was conducted using the De Oliveira’s technique to femoral hernia repair and Liechenstein for the inguinal hernia repair.DiscussionThe De Garengeot’s hernia is a rare entity, comprehending only 0.5–5% of the femoral hernias2, it represents an unusual finding and is, in the majority of cases, diagnosed intraoperatively. It’s pathogenesis is yet matter of discution. There is no standard approach for this hernia, possibly by the few numbers and variability of presentation of cases described.ConclusionThis paper presents a case of a 84yo female with De Garengeot’s hernia that was submitted to a correction using the De Oliveira’s technic. A low cost technic with great results without use of polypropylene mesh.

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De Garengeot Hernia: A Case Report and Review of Literature

Cited by 15 publications

References 3 publications

De Garengeot hernia—Use of a novel surgical approach and literature review

De Garengeot hernia—Use of a novel surgical approach and literature review

De Garengeot’s Hernia: Two Case Reports with Correct Preoperative Identification of the Vermiform Appendix in the Hernia

Treatment of De Garengeot’s hernia using De Oliveira’s technic: A case report and review of literature

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