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

Author: Kagajas Shaktishicage
Country: Brunei Darussalam
Language: English (Spanish)
Genre: Art
Published (Last): 25 November 2015
Pages: 301
PDF File Size: 19.71 Mb
ePub File Size: 11.86 Mb
ISBN: 915-4-16250-362-4
Downloads: 62223
Price: Free* [*Free Regsitration Required]
Uploader: Sakinos

She last opened her bowel earlier that day.

However, as demonstrated in herna 2, appendix which is visually confirmed healthy could be reduced and left in situ without compromising the postoperative outcome, whereas resection of a healthy appendix can lead to unnecessary infection risks [ 29 ].

Patients may present fever, signs and symptoms that suggest obstructive acute abdomen and laboratorial exams may show non-specific results [8]. Radiological findings are often non-specific. Then, two additional 5-mm trocars were inserted in the left lower and middle abdominal regions. The sac was opened revealing a congested appendix and caecum.

Spencer Netto — writing. The appendix was seen to disappear into the hernia sac. The perfusion however normalised when the neck of the hernia was released. When facing a patient with incarcerated hernia emergency surgery must gaengeot indicated even if it is not possible to determine the contents of the hernia. Although some authors have reported successful mesh repairs per infra-inguinal incision performed in the presence of appendicitis, we insist that the surgical site of hernioplasty should not herniw contaminated.


De Garengeot hernia: Case report and review

Emergency repair of Morgagni hernia with partial gastric volvulus: She was afebrile, normotensive, and denied abdominal pain, bloating, nausea or vomiting. We recently found some cases that were successfully treated using the laparoscopic approach, in the literature.

Both had open femoral hernia repair, one with appendectomy and one with the appendix left in situ. Moreover, the rates of SSI are 6. Abdominal enhanced computed tomography CT revealed a swelling and an enhanced appendix within the femoral hernia Fig.

As the appendix was not inflamed, it was decided not to perform an appendectomy. Informed consent for the case discussion and publication was obtained from all patients for being included in the study. We report the successful garenget of a year-old lady who presented with acute onset of a right groin mass and tenderness, which turned out to be an incarcerated femoral hernia containing an inflamed appendix.

A Penrose drain was placed over this layer.

The postoperative course of the patient was uneventful, without any surgical site infection SSIand she was discharged on the postoperative Day 8. Westphalen — study design, data analysis, writing. In a systematic review of patients, Hentati concluded that there are no significant differences in the rate of surgical site infection between mesh and suture hernis this was true for both cases with and without bowel resection.

Femoral hernia is more common in women, especially in postmenopausal women.

De Garengeot’s hernia

There was an incidental finding of chronic sigmoid diverticular disease. Operative Technique An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique. Received Oct 23; Accepted Dec Ruptured appendicitis in femoral hernias: Preoperative abdominal CT image of the patient.


Both patients were correctly diagnosed preoperatively with computed tomography CT. In Maingot R, editor. Diagnostic laparoscopy could be a valuable tool in the correct diagnosis and management of unusual presentations of incarcerated groin hernias.

Related articles in PubMed Efficacy of tranexamic acid on operative bleeding in endoscopic sinus surgery: De Garengeot hernia is a rare entity that requires early treatment in order to avoid complications. We performed appendectomy and hernioplasty via different approaches to prevent mesh contamination.

De Garengeot hernia | Radiology Reference Article |

She was seen twice afterwards as an outpatient, once for removal of the drain and a second time for removal of staples. An incision was made externally over the right groin swelling and then carried down to the hernia sac, which appeared to be a femoral hernia.

Similar to our cases, most cases are done through a groin incision, using one of the femoral hernia repair approaches [ 2324 ]. Laparoscopic view of the femoral hernia with the incarcerated appendix. A blunt port was then inserted through the incision and a mm, degree scope was used to examine the abdominal cavity.

Both patients were systemically well with no bowel symptoms; this is despite patient 1 having an obstructed and partially strangulated hernia.