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.

Author: Zulkill Gardagal
Country: Canada
Language: English (Spanish)
Genre: Video
Published (Last): 5 August 2017
Pages: 330
PDF File Size: 8.21 Mb
ePub File Size: 20.2 Mb
ISBN: 906-8-56402-397-7
Downloads: 4422
Price: Free* [*Free Regsitration Required]
Uploader: Moogujora

Indexed in Web of Science.

Table 1 Due to gradually increasing pain in the region, the patient was transferred to the operating theater. Acute appendicitis within a femoral hernia: Acute appendicitis in an incarcerated femoral hernia: The skin was closed with reabsorbable poliglecaprone 25 suture and a pressure dressing applied.

Int J Surg Case Rep ; 3: Hernia 16 6: Due to the vestigial nature of the appendix, strangulation does not result in mechanical obstruction, although ileus can occasionally develop secondary to inflammation. Received Oct 23; Accepted Dec Femoral hernia cases occur through the femoral ring, into the femoral canal.


De Garengeot’s hernia – Wikipedia

Bidarmaghz B, Tee CL. Hernia 12 1: On assessment the patient was in painful distress, she was tachycardic but otherwise her vital signs were stable. C Vermiform appendix protruding through the hernia neck with signs of advanced inflammation and ischemia. Histology of the resected appendix showed inflammatory changes within the appendix consistent with appendicitis and peri-appendicitis.

It has even been reported that, after the spontaneous reduction of a perforated appendix, the hernia neck seals off the infected collection, preventing peritoneal involvement [ 9 ]. The appendix was incarcerated within the sac, inflamed and its blind end exhibited early signs of necrosis Figure 1D.

However, the treatment for this condition along with acute appendicitis is still controversial. Hernia 17 2: We wish to underline the usefulness of laparoscopy in both the diagnosis and treatment of de Garengeot hernias.

Login using

Abdominal enhanced computed tomography Yernia revealed a swelling and an enhanced appendix within the femoral hernia Fig. However, in patients with appendicitis, the risk of mesh infection should be prevented.

A case of De Garengeot hernia requiring early surgery. This paper presents a case report of a De Garengeot hernia patient who presented a good evolution after surgery. The pathological findings showed acute purulent appendicitis.


Carolina Talini — literature review, data analysis, writing. This is a report of a case who was admitted and operated on for a strangulated femoral hernia. An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique. Depending on the movement of the caecum, the appendix can assume various end-positions, most common of which are pelvic and postileal ones [ 5 herbia.

De Garengeot Hernia

The garehgeot sac contained a gangrenous appendix, which was excised and the hernia was repaired with sutures without complication. Int J Surg Case Rep 5 For commercial re-use, please contact journals. The patient went home on day one after the operation. The preoperative diagnosis of de Garengeot hernia was known to be difficult. Acute appendicitis in an incarcerated femoral hernia: Published online Jan