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.
|Published (Last):||9 June 2017|
|PDF File Size:||9.45 Mb|
|ePub File Size:||3.24 Mb|
|Price:||Free* [*Free Regsitration Required]|
Appendix abscess in a femoral hernia sac — case report and review of the literature.
This article has been cited by other articles in PMC. In our patient, the unusual presentation of the hernia prompted us to do a garengeor laparoscopy first, during which the appendix was seen entering the hernia sac. As for the technique to be used, due to the rarity of this disease, it was ehrnia possible to establish a standard conduct yet.
A recurrent, incarcerated inguinal hernia was suspected, but the lack of systemic or abdominal garenegot and the absence of findings suggesting bowel obstruction was concerning. We herniq that this case report adds hernai the growing literature on this condition, which will ultimately allow for more detailed case-control studies and systematic reviews in order to establish gold-standard diagnostic studies and optimal surgical management in future.
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 be contaminated. Frequently, the inflamed or ruptured appendix is a surprise finding when the groin swelling is explored.
The femoral canal is a compartment of the femoral sheath which is bordered anterosuperiorly by the inguinal ligament, medially by the lacuna ligament, laterally by the femoral vein, and posteriorly by the pectineal ligament. 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.
De Garengeot’s hernia
McVayMD, and J. National Center for Biotechnology InformationU. The appendix was then isolated and removed through the external incision.
There was no evidence garengekt perforation of the caecum or the appendix neither was there a periappendiceal collection.
Consent Written informed consent was obtained from the patient for publication of this case reportand accompanying images.
Report of two cases and review of the literature. Several surgical approaches exist, including open or laparoscopic approaches either with or without appendectomy, with mesh or simple suture hernioplasty.
Carolina Talini — literature review, data analysis, writing. Ruptured appendicitis in femoral 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 .
Oliveira — data collections, literature review. View large Download slide. Discussion The presence of the appendix within a femoral hernia sac is uncommon and is generally found only during surgery.
A combined approach in which appendectomy was done laparoscopically and the hernia correction by open surgery was recently described for the first time. Our patient was a year-old woman with a bulging mass and tenderness in the right inguinal area. In that case the diagnosis of De Garengeot hernia was determined preoperatively and the patient underwent open surgery via inguinotomy, however dissection of the appendix base presented technical difficulties and the surgeon opted for laparoscopy to solve that problem .
However, the treatment for this condition along with acute appendicitis is still controversial. This entity clinically presents as a nonspecific incarcerated hernia, with irreducible groin bulge, usually painful and associated with inflammatory signs [7,8].
De Garengeot Hernia
Subsequently, laparoscopic appendectomy was performed. It has even been reported that, after the hwrnia reduction of a perforated appendix, the hernia neck seals off the infected collection, preventing peritoneal involvement [ 9 ]. Note the oral contrast in the colon, past the ileocaecal junction.
However, in recent years mesh repair has been used in some cases without any reported complications. Abstract Background and Objectives: The skin was closed with reabsorbable poliglecaprone 25 suture and a pressure dressing applied. Both patients were correctly gqrengeot preoperatively with computed tomography CT. The patient evolved clinically well without postoperative complications or signs of recurrence four months after surgery.
De Garengeot hernia | Radiology Reference Article |
At six-month follow-up patient did not have any postoperative complications. Author information Article notes Copyright and License information Disclaimer. The inferior portion of the inguinal ligament and the pectineus fascia were then approximated by using 0 polypropylene sutures.