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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The preoperative diagnosis is difficult, and most patients end up being taken to the operating room with the nonspecific diagnosis of incarcerated hernia. Appendix abscess in a femoral hernia sac — case report and review of the literature.

The decision was made to repair the hernia defect with interrupted polypropylene suture instead of mesh as a resection had been undertaken. Six patients had a laparotomy with a lower midline incision, because of a high possibility of abscess or perforation 911, 12, 14, 16, Abdominal CT reported a right agrengeot hernia measuring 5.

Appendicitis and Meckel’s diverticulum in a femoral hernia: Due to the narrow and rigid femoral neck of femoral canal, this type of hernia is much more likely to become incarcerated and strangulated. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair.

Case Reports in Surgery

Postoperatively most patients recover without complications, with an average hospital stay of 5 days in the case reports we reviewed; this however depends on the state of the appendix during surgery, as perforated appendix is significantly more likely to lead to surgical site infection in the postoperative period. This article has been cited by other articles in PMC.


Report of a case. Appendectomy and primary hernia repair should be performed simultaneously.

Informed consent for the case discussion and publication was obtained from all patients for being included in the study. An 86 years-old male patient, comes garengeoy Emergency Department complaining of painful bulging in the right inguinal region, associated with local inflammatory signs.

Several surgical approaches exist, including open or laparoscopic approaches either with or without appendectomy, with mesh or simple suture hernioplasty. On admission, the patient was afebrile with age-appropriate vital signs. Hernia of the vermiform appendix. J Med Case Rep 5: In our patient, the unusual presentation of the hernia prompted us to do a diagnostic laparoscopy first, during which the appendix was seen entering the hernia sac.

She was seen twice afterwards as an outpatient, once for removal of the drain and a second time for removal of staples.

Pathological examination demonstrated acute herniaa with transmural necrosis and peri-appendicitis. The inferior portion of the inguinal ligament and the pectineus fascia were then approximated by using 0 polypropylene sutures.

The swelling was irreducible but not strangulated.

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

We would like to highlight the usefulness of hybrid surgery, laparoscopic appendectomy and hernioplasty via the anterior approach to prevent SSIs. Int J Surg Case Rep ; 5: Int J Surg Case Rep ; 3: Int J Surg Case Rep 2 5: An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique.


It occurs most frequently on the right side [7]. 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 rate of SSI for ehrnia and femoral hernia repairs is 0.

De Garengeot hernia | Radiology Reference Article |

Operative Technique An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique. A case of De Garengeot hernia requiring early surgery. Some theories have proposed the pathogenesis of the migration of the appendix into the femoral hernia.

Patient then had an abdominal CT scan with oral and intravenous contrast Figure 1. No peritoneal signs were elicited, and the remainder of the patient’s physical examination was unremarkable. Written informed consent was obtained from the patient for publication gxrengeot this case reportand accompanying images. Table 1 Due to gradually increasing pain in the region, the patient was transferred to the operating theater.