2016
DOI: 10.1515/med-2016-0065
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Garengeot’s hernia: two case reports with CT diagnosis and literature review

Abstract: 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 li… Show more

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Cited by 22 publications
(34 citation statements)
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“…As in our case, presentation was that of painful groin lump without the specific symptoms of appendicitis 2 4. Preoperative diagnosis based on clinical ground is usually that of an incarcerated femoral hernia with or without bowel obstruction depending on the presentation 4. Imaging modalities are increasingly reported to be useful in the preoperative period specially with CT scanning as clinical examination alone has a limited value in determining the contents of the sac; however, in most instances, the diagnosis was made intraoperatively like in our case 5.…”
Section: Discussionmentioning
confidence: 83%
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“…As in our case, presentation was that of painful groin lump without the specific symptoms of appendicitis 2 4. Preoperative diagnosis based on clinical ground is usually that of an incarcerated femoral hernia with or without bowel obstruction depending on the presentation 4. Imaging modalities are increasingly reported to be useful in the preoperative period specially with CT scanning as clinical examination alone has a limited value in determining the contents of the sac; however, in most instances, the diagnosis was made intraoperatively like in our case 5.…”
Section: Discussionmentioning
confidence: 83%
“…Only 17% of cases have been reported to have attained a preoperative diagnosis 1. Based on the clinical presentation, surgery can be laparoscopic, open or of combined approach; however, since this finding is so rare and is even rarely diagnosed preoperatively, there is no specific consensus on the approach and procedure 4. Various methods of treatment have been described, ranging from drainage followed by interval appendectomy for severe cases to appendectomy followed by interval hernia repair 6 7.…”
Section: Discussionmentioning
confidence: 99%
“…De Garengeot’s hernias, defined by the presence of appendix inside a femoral hernia sac, are extremely rare and account for 0.9% of femoral hernias 1. De Garengeot’s hernias remain a diagnostic challenge, presenting with vague abdominal symptoms while lacking the typical clinical signs of acute appendicitis 4.…”
Section: Discussionmentioning
confidence: 99%
“…De Garengeot’s hernias remain a diagnostic challenge, presenting with vague abdominal symptoms while lacking the typical clinical signs of acute appendicitis 4. Although preoperative CT scanning may be helpful in establishing the diagnosis, most cases are diagnosed intraoperatively 1. The established management of these hernias typically consists of emergency surgery with either an open or laparoscopic approach, influenced by the clinical picture.…”
Section: Discussionmentioning
confidence: 99%
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