Ultrasound diagnosis of acute appendicitis complicating De Garengeot’s hernia

Cavigli, Edoardo; Mastrorosato, Matteo; Danti, Ginevra; Addeo, Gloria; Cozzi, Diletta; Miele, Vittorio

doi:10.1007/s40477-020-00466-7

Cited by 3 publications

(6 citation statements)

References 23 publications

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“…Femoral hernias occur when the abdominal contents, viscera, or omentum pass through the femoral ring into the femoral canal below the inguinal ligament and medial to the femoral vessels [3] , [5] , [6] . Femoral hernias account for approximately 5 % of all abdominal hernias, and only 5 % of these femoral hernias may contain vermiform appendix and these hernias are called De Garengeot hernias [7] , [8] .…”

Section: Discussionmentioning

confidence: 99%

Strangulated femoral hernia with appendicitis: A rare case of De Garengeot's hernia

Nerabani

Hamdan

Al-kurdi

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Strangulated femoral hernia with appendicitis: A rare case of De Garengeot's hernia

Nerabani

Hamdan

Al-kurdi

et al. 2023

International Journal of Surgery Case Reports

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“…Although CT diagnosis of hernia has an excellent objectivity, the use of CT is limited by radiation exposure and medical economy. US diagnosis offers several advantages: it is noninvasive and repeatable, it can discriminate the prolapsing abdominal organs from the surrounding structures, and it is suitable for evaluating circulatory dis- turbances in the prolapsing organs using the color Doppler method [29]. However, it has several limitations, such as high dependence on the sonographer's skill and interpretation of reviewers, the sensitivity for detecting inguinal hernia ranging from 67% to 100% (Table III) [14][15][16][17][18][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, US imaging was reported to be useful for musculoskeletal disorders in patients with sarcopenia and painful shoulder syndromes [12,13]. The usefulness of US for diagnosing inguinal hernia has been reported for a few decades; however, there are few reports on the significance of US in the diagnosis of a groin mass, with no large case series comparing physicians' diagnosis to US diagnoses, and inguinal hernias types between US diagnosis and surgical diagnosis [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. In 2010, our institute introduced US for the differential diagnosis of a groin mass; since then, we have been validating US diagnosis with surgical diagnosis on a case-by-case basis.…”

Section: Introductionmentioning

confidence: 99%

Significance of ultrasonography in the assessment of patients with a groin mass: a large, single-center case series

Kojima

Maeoka²,

Nisaka³

et al. 2022

Med Ultrason

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Aim: There is a concern that the differential diagnosis of a groin mass depends on a physicians’ subjective judgment and experience. We aimed to clarify the significance of US in the diagnosis of a groin mass.Material and methods: This retrospective study included 1,898 patients who underwent US examination of a groin mass. Physicians’ diagnoses were compared with US-based diagnoses. Furthermore, the incidence of asymptomatic contralateral hernia was analyzed. The frequency of unnecessary surgery in patients with and without preoperative US was compared. In 1,451 patients who underwent surgery with preoperative US, the preoperative US classification was compared with surgical diagnosis.Results: Of 1,805 patients diagnosed with an inguinal hernia by physicians, 190 (10.5%) exhibited no US findings of inguinal hernia. US revealed asymptomatic contralateral hernia in 13.3% of the 1,543 patients in whom a physician detected unilateral inguinal hernia. The frequency of unnecessary surgery was significantly associated with preoperative US (1/1451; 0% vs. 2/351, 0.6%; p=0.0382). The overall US diagnostic accuracy for the inguinal hernia type was 92.7%.Conclusions: US imaging of a groin mass can help avoid unnecessary surgery, detect latent inguinal hernia, and guide surgical planning.

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“…When image modality suggest absence of inflammation of the appendix and the patient is clinically stable, planned surgery of laparoscopic repair using mesh such as transabdominal preperitoneal approach is recommended. Cavigli et al reported a case of De Garengeot hernia in which US showed thickened wall and hypervascularization of the appendix and hyper echoic omental fat, suggesting inflammation of the appendix without necrosis [53]. The thickness and layers of the appendiceal wall can be evaluated with US.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of US are that the technique is non-invasive and repeatable, and shows superior discriminability due to high spatial resolution. US could facilitate correct preoperative diagnosis of De Garengeot hernia and assessment of the severity of appendicitis [53,55,56].…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

et al. 2021

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Background De Garengeot hernia, wherein the appendix is present within a femoral hernia, is a rare disease; therefore, the clinicopathological features remain to be clarified. This study aimed to reveal the clinicopathological characteristics of De Garengeot hernia. Case presentation Six patients who underwent appendectomy and herniorrhaphy between 1999 and 2018 were included. The incidence of De Garengeot hernia was 3.2% among the 182 femoral hernias that required surgery during the study period. The median age of the patients was 78 years, and five patients were women. The median body mass index was 20.1. Patients frequently had fever or elevated CRP level. Preoperative diagnoses based on computed tomography were femoral (n = 3), inguinal (n = 2), and De Garengeot (n = 1) hernias. Emergency and elective surgeries were performed in four and two patients, respectively. Histopathological examination of the resected appendix showed gangrenous appendicitis (n = 3), perforated appendicitis (n = 2), and appendiceal ischemia (n = 1) in the patients. Postoperatively, one patient developed sepsis. Conclusions Preoperative diagnosis of De Garengeot hernia is often difficult, and patients frequently have severe appendicitis. Precise diagnosis is required, and emergency surgery should be considered depending on the severity of appendicitis.

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Ultrasound diagnosis of acute appendicitis complicating De Garengeot’s hernia

Cited by 3 publications

References 23 publications

Strangulated femoral hernia with appendicitis: A rare case of De Garengeot's hernia

Strangulated femoral hernia with appendicitis: A rare case of De Garengeot's hernia

Significance of ultrasonography in the assessment of patients with a groin mass: a large, single-center case series

Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

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