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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Surgeons decided to perform appendectomy herniaa inguinal repair of the femoral hernia with placement of a polypropylene mesh to provide a tension free repair. This entity clinically presents as a nonspecific incarcerated hernia, with irreducible groin bulge, usually painful and associated with inflammatory signs [7,8].

Occasionally patient may have generalised abdominal symptoms [ 311 ] and systemic symptoms [ 6 ].

You can login by using one of your existing accounts. Clinical examination is of limited value in identifying the content of the femoral hernia.

De Garengeot Hernia

Ruptured appendicitis in femoral hernias: Int J Surg Case Rep Open Med 11 1: The patient was taken to theatre for a right sided exploration and hernia repair under general anaesthesia. Frequently, the inflamed or ruptured appendix is a surprise finding when the groin swelling is explored. An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique. A Irreducible lump in the right groin with overlying erythema.

Garengfot performed appendectomy and inguinal repair of the femoral hernia with placement of a polypropylene mesh. A blunt port was then inserted through the incision and a mm, degree scope was used to examine the abdominal hernix.


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. The presentations of both of our cases are that of a typical groin hernia, with irreducible, tender lumps in the groin.

Showed unchanged bowel habit in this period, denied emesis or other associated symptoms. This is a report of a case who was admitted and operated on for garengrot strangulated femoral hernia.

A tubular structure was seen in the hernial sac which did not take up the oral contrast; this was reported as an appendix in a femoral hernia. Cir Esp 95 3: Then, two additional 5-mm trocars were inserted in the left lower and middle abdominal regions. The perfusion however normalised when the neck of the hernia was released.

Traite des operations de chuirgie. The presence of the appendix within a femoral hernia sac is uncommon and is generally found only during surgery. J Surg Case Rep 7: This aided the identification of the appendix as hernial sac content.

CT demonstrates a tubular structure following the caecum in the femoral hernia. His previous medical history includes hypertension and smoking. Thirty-four patients 5 men and 29 women with a mean age of The similarities in the reported cases may be of some informative value for clinicians. We performed appendectomy and hernioplasty via different approaches to prevent mesh contamination. Written informed consent was obtained from the patient for the publication of this case report. A groin ultrasound scan showed an approximately 5.


Subsequently, laparoscopic appendectomy was performed. Acute suppurative appendicitis occurring within femoral hernia: Can J Surg ; Due to the infrequency of the case, there is no standard surgical practice, and cases are managed based on first principles.

Due to the narrow and rigid femoral neck of femoral canal, this type of hernia is much more likely to become incarcerated and strangulated. The hernial defect was repaired garengfot a mesh plug.

A computed tomographic CT scan of the abdomen and pelvis was obtained to help differentiate garengelt intraabdominal and localized pathology and to plan our surgical approach. Support Center Support Center. Acute appendicitis within a femoral hernia: This rare condition occurs in 0.

Clinical significance of de Garengeot’s hernia: Table 1 Table 1.

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

A De Garengeot hernia masquerading as a strangulated femoral hernia. The appendix was then isolated and removed through the external incision. A year-old woman with aplastic anaemia and hypertension who complained of a bulging mass and tenderness in the right inguinal area was referred to our department.

Report of two cases and literature review. This type of hernia usually presents with therapeutic dilemmas, especially because of the risk of surgical site infection SSI.

Two 5-mm abdominal ports were placed, one in the left lower quadrant and the other in the right upper quadrant.