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.
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Laparoscopic appendectomy was initially performed, followed by hernioplasty via the anterior approach to prevent properitoneal contamination.
In that case the diagnosis of De Garengeot gadengeot 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 . We wish to underline the usefulness of laparoscopy in both the diagnosis and treatment of de Garengeot hernias.
The major part of the appendix passed through the femoral orifice Fig. De Garengeot hernia is a rare entity that requires early treatment in order to avoid possible complications.
De Garengeot Hernia
Due to the small potential space in the femoral canal, femoral hernias are much more likely to become incarcerated and strangulated. The presence of the appendix within a femoral hernia sac is uncommon and is generally found only during surgery. As the appendix was not inflamed, it was decided not to perform an appendectomy.
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De Garengeot hernia: Case report and review
Open in a separate window. To receive news and publication updates for Case Reports in Surgery, enter your email address in the box below. The preoperative diagnosis of de Garengeot hernia was known to be difficult.
More on this topic De Garengeot’s hernia: The mesoappendix and the base of the appendix were then stapled and transected separately. Stranding and thickening of the adjacent anterior abdominal wall fat was also seen. Patient reported that four days before going to the hospital, after major physical effort evolved with an irreducible bulging in right inguinal region.
Acute appendicitis in an incarcerated femoral hernia: We report a case of appendicitis presenting in an incarcerated femoral hernia, otherwise known as de Garengeot hernia. A necrotic and inflamed appendix was detected Fig. Occasionally patient may have generalised abdominal symptoms [ 311 ] and systemic symptoms [ 6 ].
A computed tomographic CT scan of the abdomen and pelvis was obtained to help differentiate between intraabdominal and localized pathology and to plan our surgical approach. No standard approach to treatment of de Garengeot hernias has been described, possibly due to the rarity of this condition.
Garegneot hernia is more garemgeot in women, especially in postmenopausal women. The patient had an uneventful postoperative period and was discharged to her home on hhernia second day after surgery. CT diagnosis of acute appendicitis in a femoral hernia. An infraumbilical incision was made, and pneumoperitoneum was obtained by using Hasson’s open technique.
The vermiform appendix is a blind ended tubular structure connected to the caecum. Her abdomen was herjia and nontender; there was a palpable, nonerythematous lump in the right groin which was tender to touch and irreducible.
The patient was taken to theatre for a right sided exploration and hernia repair under general anaesthesia.
Case Reports in Surgery
The femoral hernia defect was repaired using interrupted nylon suture, the skin was closed with polyglactin suture, and a pressure dressing was applied to minimise seroma formation and maintain haemostasis.
Several surgical tactics were used previously and considered acceptable, such as appendectomy followed by hernia correction in a second time, laparotomy for appendectomy and hernia correction by inguinotomy or even appendectomy through the hernia sac itself with correction of femoral hernia at the same surgical time . His previous medical history includes hypertension and smoking.
These patients seldom develop signs of peritonitis, as the inflamed appendix is isolated from the peritoneal cavity by the tight neck of the hernia sac. Dissection was carried down to the neck of the sac, which was then ligated, followed by excision of the sac. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair. De Garengeot harengeot is a rare condition in which appendicitis occurs within a femoral hernia.
She last opened her bowel earlier that day.