medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2012, Number 1

<< Back

Cir Gen 2012; 34 (1)

De Garengeot hernia. A case report and literature review

Hernández LA, León TAM, Murillo ZA

Language: Spanish
References: 26
Page: 78-82
PDF size: 90.56 Kb.


ABSTRACT

Objective: To report a case of a de Garengeot hernia.
Setting: Third Level Health Care Center.
Design: Case report.
Case description: We present the case of an 82-year-old woman, admitted with a diagnosis of high intestinal occlusion due to a probable complicated inguinal hernia. For this reason she was subjected to an exploratory laparotomy that revealed a Richter’s hernia and a de Garengeot’s hernia in the left femoral canal. These were treated with an appendicectomy, reduction of Richter’s hernia, and closure of the femoral canal with non-absorbable suture. The patient evolved satisfactorily and is currently without complications.
Discussion: The presence of the herniated cecal appendix in the femoral canal is known as de Garengeot’s hernia. Its frequency is very low, preoperative diagnosis is very complex and treatment is related with the evolution time and coexistence of the inflammatory process. Appendicectomy is recommended in the presence of complicated appendicitis, closing the hernia defect with suture without using prosthetic materials.


REFERENCES

  1. De Garengeot RJC. Traite des operations de chirurgie. 2nd Ed Paris: Huart; 1731: 369-71.

  2. Cordera F, Sarr MG. Incarcerated appendix in a femoral hernia sac. Contemp Surg 2003; 59: 35-37.

  3. Zissin R, Brautbar O, Shapiro-Feinberg M. Ct diagnosis of acute appendicitis in a femoral hernia. Br J Radiol 2000; 73: 1013-1014.

  4. Sharma H, Jha PK, Sheckhawat NS, Memon B, Memon MA. De Garengeot hernia: an analysis of our experience. Hernia 2007; 11: 235-238.

  5. Tanner N. Strangulated femoral hernia appendix with perforated sigmoid diverticulitis. Proc R Soc Med 1963; 56: 1105-1106.

  6. D’Ambrosio N, Katz D, Hines J. Perforated appendix within a femoral hernia. AJR Am J Roentgenol 2006; 186: 906-907.

  7. Wyatt JP, Varma JS. Femoral hernia appendix causing small intestinal obstruction. Postgrad Med J 1992; 68: 223-224.

  8. Suppiah A, Barandiaran J, Morgan R, Perry EP. First case of villous adenoma of the appendix leading to acute appendicitis presenting as strangulated femoral hernia: changes in management owing to concurrent adenoma. Case Report Hernia 2008; 12: 95-98.

  9. Luchs JS, Halpern D, Katz DS. Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr 2000; 24: 884-886.

  10. Bhalla A, Bhalla V. De Garengeot hernia: a case study and literature review. The Internet Journal of Surgery 2007; 13: 11.

  11. Scepi M, Richer JP, Muller J. Appendix in a left crural herniated position: apropos of a case. Explanation by human ontogenesis. J Chir (Paris) 1993; 130: 479-482.

  12. Nguyen ET, Komenaka IK. Strangulated femoral hernia containing a perforated appendix. Can J Surg 2004; 47: 68-69.

  13. Guirguis EM, Taylor GA, Chadwick CD. Femoral appendicitis: an unusual case. Can J Surg 1989; 32: 380-381.

  14. Watson SD, Saye W, Hollier PA. Combined laparoscopic incarcerated herniorrhaphy and small bowel resection. Surg Laparosc Endosc 1993; 3: 106-108.

  15. El Mansari O, Sakit F, Janati MI. Acute appendicitis on crural hernia. Presse Med 2002; 31: 1129-1130.

  16. Fitzgerald E, Neary P, Conlon KC. An unusual case of appendicitis. Ir J Med Sci 2005; 174: 65-66.

  17. Serrano A, Ackerman NB. Perforated appendicitis in an incarcerated inguinal hernia. Arch Surg 1979; 114: 968.

  18. Fukukura Y, Chang SD. Acute appendicitis within a femoral hernia: multidetector CT findings. Abdom Imaging 2005; 30: 620-622.

  19. Ivicic J, Zaloudik J. Carcinoid of the appendix in incarcerated femoral hernia. Rozhl Chir 1999; 78: 369-61.

  20. Isaacs LE, Felsenstein CH. Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass. J Emerg Med 2002; 23: 15-18.

  21. Voitk AJ, MacFarlane JK, Estrada RL. Ruptured appendicitis in femoral hernias: report of two cases and review of the literature. Ann Surg 1974; 179: 24-26.

  22. Barbaros U, Asoglu O, Seven R, Kalayci M. Appendicitis in incarcerated femoral hernia. Hernia 2004; 8: 281-282.

  23. Lin E, Wear K, Tiszenkel HI. Planned reduction of incarcerated groin hernias with hernia sac laparoscopy. Surg Endosc 2002; 16: 936-938.

  24. Thomas B, Thomas M, McVay B, Chivate J. De Garengeot hernia. JSLS 2009; 13: 455-457.

  25. Comman A, Gaetschmann P, Hammer T, Behrend M. De Garengeot hernia: transabdominal preperitoneal hernia repair and appendectomy. JSLS 2007; 11: 496-501.

  26. Naude GP, Ocon S, Bongard F. Femoral hernia: the dire consequences of a missed diagnosis. Am J Emerg Med 1997; 15: 680-682.




2020     |     www.medigraphic.com