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.
|Published (Last):||1 September 2016|
|PDF File Size:||2.77 Mb|
|ePub File Size:||8.76 Mb|
|Price:||Free* [*Free Regsitration Required]|
A review of the literature indicates the incidence of de Garengeot hernias to be greater in women, paralleling the sex-related incidence of femoral hernias. A laparoscopic appendectomy was then performed prior to open hdrnia of the groin. Case Presentation A 56 year old male Caucasian patient was admitted to the Emergency Department of our Hospital due to an irreducible lump in his right groin, which he had initially noticed 12 h earlier.
There is a predisposition for females 1: Appendectomy and primary hernia repair should be performed simultaneously. A combined approach in which appendectomy was done laparoscopically and the hernia correction by open surgery was recently described for the first time. Case Reports in Surgery. The sac was opened revealing a congested appendix and caecum. Then, two additional 5-mm trocars were inserted in the left lower and middle abdominal regions.
De Garengeot’s hernia – Wikipedia
Appendicitis and Meckel’s diverticulum in a femoral hernia: Authors in such cases reason that it is the delay in surgical intervention rather than the method of hernia repair which influences the risk of surgical site infection [ 182932 ].
This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. When facing a patient hernnia incarcerated hernia emergency surgery must be indicated even if it is not possible to determine the contents of the hernia. Int J Surg Case Rep 2 5: APr and TK are surgeons from another Hospital who helped in the collection of literature references and review analysis.
No peritoneal signs were elicited, and the remainder of the patient’s physical examination was unremarkable. Treatment consists of emergency surgery. Several surgical approaches exist, including open or laparoscopic approaches either with or without appendectomy, with mesh or simple suture hernioplasty.
Acute appendicitis within garrengeot femoral hernia: She also complained of increasing pain and redness in the right groin. There was no evidence of perforation of the caecum or the appendix neither was there a periappendiceal collection. Due to the vestigial nature of the appendix, strangulation does not result in mechanical obstruction, although ileus can occasionally develop secondary to inflammation.
It is a rare condition that presents with a swelling mass in the groin, which is often tender. Pathological examination demonstrated acute appendicitis with transmural necrosis and gqrengeot. His abdomen was soft, non-distended, and non-tender with normal bowel sounds on auscultation and no signs of bowel obstruction.
Case Reports in Surgery
Wound complications were specially related to older patients with delayed diagnosis and treatment . Seven of them had a perforated appendix 911, 19, 22, 25, 28, Depending on protocol and reporting expertise, CT has demonstrated some value, with only 4 reported cases where CT has given the correct diagnosis [ 17hetnia — 21 ].
Appleton Century Crofts; ; The postoperative course of the patient was uneventful, without any surgical site infection SSIand she was discharged on the postoperative Day 8. Int J Gen Med 4: Two such cases have been reported, both with good postoperative outcomes harengeot 1828 ]. Initially a right inguinal incision was performed. On assessment the patient appeared well, garengot vital signs were stable, and her abdomen was soft and nontender.
De Garengeot’s hernia
Three reported cases were associated with obstruction, one due to involvement of herni small bowel [ 12 ] and two due to peritonitis and sepsis [ 61113 ]. A blunt port was then inserted through the incision and a mm, degree scope was used to examine the abdominal cavity. One report described a case where the appendix was resected from the caecum via laparoscopy, followed by inguinal incision to remove the appendix and to repair the hernia [ 27 ].
No standard approach to treatment of de Garengeot hernias has been described, possibly due to the rarity of this condition. Akopian G, Alexander M. In this case, we performed the appendectomy using the inguinotomy incision. Most surgical strategies began with an inguinal or an oblique incision over the irreducible lump 26 of the patients.
Login Register Login using. De Garengeot hernia is a rare condition in hetnia appendicitis occurs within a femoral hernia.
Acute suppurative appendicitis occurring within femoral hernia: National Center for Biotechnology InformationU. Rene Jacques Croissant De Garengeot, a French surgeon, was the first to describe gatengeot presence of the appendix inside a incarcerated femoral hernia in The perfusion however normalised when the neck of the hernia was released.
Initial diagnostic laparoscopy can be an invaluable adjunct in both diagnosis and treatment of atypical hernias. The high prevalence among women has been attributed to body changes during pregnancy and other risk factors, including increased intra-abdominal pressure, smoking, advanced age and collagen defects . AM garengeto the Professor and Chairman in our Department and supervised the writing of this report. Computed tomography revealed an incarcerated appendix, with appendicitis in the femoral hernia.