Images in Clinical Medicine from The New England Journal of Medicine — De Garengeot’s Hernia. 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.

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Both patients were systemically well with no bowel symptoms; this agrengeot despite patient 1 having an obstructed and partially strangulated hernia. Int J Surg Case Rep The vermiform appendix is a blind ended tubular structure connected to the caecum.

In one case an open appendectomy was performed and in the other the appendix was left in situ; both had uneventful recovery. We present a case of a patient with de Garengeot hernia with appendicitis who was successfully treated by performing a hybrid surgery, laparoscopic appendectomy, and anterior hernioplasty.

Rene Jacques Croissant de Garengeot, a French surgeon, was the first to describe the presence of the vermiform appendix inside an incarcerated femoral hernia in 4. Written informed consent was obtained from the patient for the publication of this case report. JD, male, 86 years, referred to the emergency department of a reference service in General Surgery with complaints of painful bulging in the right inguinal region during the last four days. Risk factors garrengeot a long pelvic appendix, abnormal embryological bowel rotation, and a large mobile caecum.

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Appendectomy and primary hernia repair should be performed simultaneously. Open in a separate window.

Open Med 11 1: No peritoneal signs were elicited, and the remainder of the patient’s physical examination was unremarkable.

Oliveira — data collections, literature review. Proc R Soc Med.


Our cases are the first ones where oral plus intravenous contrast was used for the CT scan, which helped to demonstrate the lack of small and large bowel involvement in the herniq.

Swelling of the right thigh for over 30 years-The rare finding of a De Garengeot hernia. A Hefnia Garengeot hernia masquerading as a strangulated femoral hernia. It is thought that the introduction of foreign material into a potentially contaminated surgical field could further increase the risk of infection [ 631 ].

De Garengeot’s hernia – Wikipedia

JSLS 11 4: For commercial re-use, please contact journals. Consent Written informed consent was obtained from the patient for publication of this case reportand accompanying images. Received Oct 23; Accepted Dec One theory garengeto abnormal intestinal rotation during embryological development, and appendiceal attachment is another theory.

The patient went home on day one after the operation. Hernia, Appendicitis, de Garengeot, Diagnostic laparoscopy. Hernia of the vermiform appendix.

ThomasMD, M. The treatment of choice for this type of hernia is emergency surgery. The postoperative recovery was uneventful. Discussion De Garengeot hernia is a rare entity that requires early treatment in order to avoid possible complications.

de Garengeot hernia with appendicitis treated by two-way-approach surgery: a case report

Most surgical strategies began with an inguinal or an oblique incision over the irreducible lump 26 of garenegot patients. Two such cases have been reported, both with good postoperative outcomes [ 1828 ]. A year-old lady presented to the emergency room with a right groin mass that had appeared suddenly 4 days before and then gradually increased in size. Clinical hernka of de Garengeot’s hernia: J R Coll Surg Edinb ; Patient then had an abdominal CT scan with oral and intravenous contrast Figure 1.

This means that you will not need to remember your user name and password in the future and you will be able to login with the account you choose to sync, with the click of a button. Laparoscopic view of the femoral hernia with the incarcerated appendix. Written informed consent was obtained from the patient for publication of this case reportand accompanying images. The presence of the appendix within a femoral hernia sac is uncommon and is henia found only during surgery.


At six-month follow-up dw did not have any postoperative complications. Clinical examination is of limited value in identifying the content of the femoral hernia.

Due to the vestigial garngeot of the appendix, strangulation does not result in mechanical obstruction, although ileus can occasionally develop secondary to inflammation. Subscribe to Table of Contents Alerts. The mesoappendix and the base of the appendix were then stapled and transected separately.

De Garengeot hernia: Case report and review

Preoperative abdominal CT image se the patient. Six patients underwent preoperative ultrasound in addition to a CT 1317, 18, 21, 30, 32 and fifteen patients had a preoperative CT as the only imaging method 1, 5, 9, 10, 12, 14, 19, 20, 22, 24 — 26, 29, To our knowledge, fewer than cases of de Garengeot hernia have been reported, and no standard surgical approach has been described for this condition. The sac contained a healthy appendix which was easily reducible.

A Irreducible lump in the right groin with overlying erythema. Seven of them had a perforated appendix 9hwrnia, 19, 22, 25, 28, The authors declare that the gareengeot was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.