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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Informed consent for the case discussion and publication was obtained from all patients for being included in the study.

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Clinical examination is of limited value in identifying the content of the femoral hernia. Surgical management of de Garengeot hernia is controversial.

Conclusion De Garengeot gqrengeot is a rare entity that requires early treatment in order to avoid complications. The patient was taken to theatre for a right sided exploration and hernia repair under general anaesthesia.

Surgeons decided to perform barengeot and inguinal repair of the femoral hernia with placement of a polypropylene mesh to provide a tension free repair. D Inflamed skeletonized appendix after ligation of the appendiceal artery.


His previous medical history includes hypertension and smoking.

Case Reports in Surgery

Report of a case. McVayMD, and J.

De Garengeot appendicitis – rare variant of a common medical condition. We wish to underline the usefulness of laparoscopy in both the diagnosis and treatment of de Garengeot hernias. Swelling of the right thigh for over 30 years-The rare finding of a De Garengeot hernia.

Table 1 Table 1. Support Center Support Center.

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

She was afebrile, normotensive, and denied abdominal pain, bloating, nausea or vomiting. He denied previous symptoms of hernia. Spencer Netto — writing. PubMed Abstract Google Scholar. In earlier reports operative treatment invariably involves simultaneous appendicectomy and femoral hernia xe.

She had no known allergies. Very rarely hrrnia appendix can also herniate via the left groin [ 714 ]. Login Register Login using.

She did not have any urinary or bowel symptoms.

De Garengeot hernia | Radiology Reference Article |

On admission, the patient was afebrile with age-appropriate vital signs. Int J Surg Case Rep. Please review our privacy policy. Operative findings included an incarcerated, inflamed appendix within a femoral hernia. Strangulated femoral hernia containing a perforated appendix.


The patient made an uneventful recovery and went home after two days. Our cases are the first ones where oral plus intravenous contrast was used for the CT scan, which helped to demonstrate the lack of small and large bowel involvement in the hernia. Infect Control Hosp Epidemiol ; The sac was opened and seropurulent fluid was evacuated.

Fukukura Y, Chang SD. The mass was firm to palpation and nonreducible, with erythema of the overlying skin. Acute appendicitis in an incarcerated femoral hernia: A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.

J Clin Diagn Res 10 Two such cases have been reported, both with good postoperative outcomes [ 1828 ]. She also complained of increasing pain and redness in the right groin. Histology of the resected appendix showed inflammatory changes within the appendix consistent with appendicitis and peri-appendicitis.