De Garengeot’s hernia: the importance of early diagnosis and its complications

Coşkun, Ali; Kılbaş, Zafer; Yiğit, Taner; Şimşek, Abdülmuttalip; Harlak, Ali

doi:10.1007/s10029-011-0814-0

Cited by 23 publications

(32 citation statements)

References 7 publications

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“…La vía de abordaje más frecuente es la infrainguinal 4,9 realizando por este mismo acceso la apendicectomía y la reparación herniaria, mayormente sin malla dado el ambiente infeccioso local. Sin embargo, hay algunos casos clínicos de reparaciones con malla por vía abierta o laparoscópica en pacientes con apéndices no perforados que no reportan complicaciones infecciosas locales 4,6,7,8,10 . También se describe el abordaje exclusivo por laparotomía o combinado con una incisión inguinal 4,6 .…”

Section: Discussionunclassified

Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico

Briceño

Jara

2018

Rev. méd. Chile

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Garengeot's hernia corresponds to the presence of the appendix within a femoral hernia, associated or not with acute appendicitis. The diagnosis of this uncommon situation is usually done during surgery. Furthermore, the clinical presentation as necrotizing fasciitis is a rare condition. We report a 54 years old obese hypertensive woman with rheumatoid arthritis of 40 years of evolution treated with methotrexate and prednisone. She consulted for pain and erythema in the right inguinal region. Laboratory revealed leukocytosis and an elevated C-reactive Protein. Suspecting a cellulitis, the patient was admitted for antimicrobial therapy. A pelvic magnetic resonance imaging showed a perforated acute appendicitis in an inguinal hernia with extensive pelvic cellulitis associated with signs of fasciitis. At surgery, an extensive groin and pubic fasciitis was evident, with a necrotic and perforated appendix within a femoral hernia. Surgical debridement, open appendectomy, and femoral hernioplasty without mesh were carried out. Vacuum-assisted closure was installed in the coverage defect. Three surgical debridement procedures were required for the closure of the wound. Two weeks after the first surgical procedure, the patient was discharged in good condition. During the follow-up, she evolved with a surgical wound dehiscence, which was managed with wound dressings until closure.

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Section: Discussionunclassified

Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico

Briceño

Jara

2018

Rev. méd. Chile

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“…The white blood cell counts and reactive protein C dosage will indicate inflammatory process, the abdomen X-ray should be ordered to exclude small intestine obstruction and the ultrasound is performed with the purpose of identifying the hernia sac content or the presence of liquid. In simpler cases, the diagnosis can be obtained merely with the use of the ultrasound, in which is observed a swollen tubular structure with a ‘dead-end’ lumen adjacent to the right femoral vein [6, 7, 10]. …”

Section: Discussionmentioning

confidence: 99%

“…Those complications should be avoided especially in elder patients, because the evolution of those symptoms can be fatal [6]. Once diagnosed, the indicated treatment for the GH is an appendectomy—if there is appendicitis or perforation—followed by hernia repair.…”

Section: Discussionmentioning

confidence: 99%

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De Garengeot's hernia in an 82-year-old man: a case report and clinical significance

et al. 2016

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The presence of the appendix within a femoral hernia (FH) sac is known as Garengeot's hernia (GH). We report on current study a rare case of an elderly man with a combined inguinal and Garengeot's hernia and discuss the clinical aspects. An 82-year-old man clinically stable, presented history of pain at the right inguinal region for over a week, without vomit, nausea, fever or any alteration of intestinal or urinary eliminations. Clinical examination revealed a FH and the ultrasonography confirmed the hernia sac. During the surgery, the appendix was recognized within the sac, and then, the patient underwent appendectomy and hernia repair. In conclusion, the presence of the vermiform appendix in a FH sac is rare, thus, requiring knowledge of the surgeon regarding this clinical entity. Prompt diagnosis and appropriate surgical treatment is the key to avoid complications.

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“…Currently, the consensus is that mesh repair is an acceptable option if there is no perforation or abscess formation. Wound infection has been related to delayed diagnosis and treatment, and is often seen in elderly patients 23. Rare but serious complications, such as necrotising fasciitis and death, have been reported 1…”

Section: Discussionmentioning

confidence: 99%

A case of De Garengeot hernia requiring early surgery

Pan

Tsao

2015

BMJ Case Reports

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De Garengeot hernia is a rare clinical entity defined as the presence of a vermiform appendix within a femoral hernia sac. A 50-year-old woman presented to the emergency department with a painful lump over her right groin region. A bedside ultrasound was performed and soft tissue lesion was suspected. CT was performed and revealed a swollen tubular structure with fat stranding within the mass. De Garengeot hernia with acute appendicitis was diagnosed preoperatively, and an emergency appendectomy and hernioplasty were performed. Although it is usually an incidental finding during hernioplasty, De Garengeot hernia should be considered in the differential diagnosis of patients with an incarcerated femoral hernia. Mesh repair can be performed depending on the clinical situation. We report a rare case of incarcerated femoral hernia with acute appendicitis that required early surgical management to avoid associated complications.

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De Garengeot’s hernia: the importance of early diagnosis and its complications

Cited by 23 publications

References 7 publications

Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico

Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico

De Garengeot's hernia in an 82-year-old man: a case report and clinical significance

A case of De Garengeot hernia requiring early surgery

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