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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Bidarmaghz B, Tee CL.

She has a medical history of asthma, hypertension, hypercholesterolaemia, Type 2 diabetes, arthritis, and deep vein thrombosis for which she was on enoxaparin. CT scan of the abdomen showing the abscess-like collection white arrow in the right lower quadrant.

The treatment of choice for this type of hernia is emergency surgery. An 86 years-old male patient, comes to Emergency Department complaining of painful bulging in the right inguinal region, associated with local inflammatory signs. Both had open garegneot hernia repair, one with appendectomy and one with the appendix left in situ. Table 1 Table 1. Acute appendicitis in an incarcerated femoral hernia: Initially a right inguinal incision was performed.

This anatomical phenomenon is thought to occur in as few as 0. The pathological findings showed acute purulent appendicitis.


The decision was made to repair the hernia defect with interrupted polypropylene suture instead of mesh as a resection had been undertaken. The postoperative course of the patient was uneventful, without any surgical site infection SSIand she was discharged on the postoperative Day 8.

Two 5-mm abdominal ports were placed, one in the left lower quadrant and the other in the right upper quadrant. We were therefore able to promptly perform an appendectomy laparoscopically, eliminating the need for laparotomy and peritoneal contamination. This article has been cited by other articles in PMC.

Appendicitis within a Femoral Hernia. Computed tomography revealed an incarcerated appendix, with appendicitis in the femoral hernia.

De Garengeot hernia: Case report and review

A De Garengeot hernia herni as a strangulated femoral hernia. Abdom Imaging ; This case reports an elderly man with incarcerated hernia diagnosed with De Garengeot hernia intraoperatively and submitted to open inguinal hernia repair with mesh and appendectomy trough the inguinotomy at same surgical garrngeot. McVayMD, and J. Sources of funding No sources of funding. Indian J Surg 75 Suppl 1: She was afebrile, normotensive, and denied abdominal pain, bloating, gwrengeot or vomiting.

When facing a patient with incarcerated hernia emergency surgery must be indicated even if it is not possible to determine the contents of the hernia. 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.


De Garengeot’s hernia

Infect Control Hosp Epidemiol ; The sac was opened revealing nernia congested appendix and caecum. The appendix being present within a femoral hernia is an unusual incidental finding at surgery, occurring in 0. Proc R Soc Med. The migration of the appendix into the hernia sac in an inguinal hernia is a rare event Amyand hernia and even rarer in incarcerated femoral hernias, which are called De Garengeot hernia [3].

De Garengeot hernia: Case report and review

Treatment consists of emergency surgery. You can login by using one of your existing accounts.

De Garengeot hernia is a rare condition in which appendicitis occurs within a femoral hernia. At a three-month follow-up she did not report any postoperative complications. The degree of inflammation of the appendix was proven histologically in all 34 cases.

Sequentially strangulation can result in acute appendicitis or even worse in perforation and abscess formation. Hdrnia femoral hernia containing a perforated appendix.