Martínez VN, Alfonso AL, Sosa MJG

Language: Spanish
References: 9
Page: 110-115
PDF size: 192.68 Kb.

ABSTRACT

The cecal appendix wrapper hernias are rare in medical practice. Described by De Garengeot and Amyand over 250 years ago, the intraoperative finding of a hernia sac containing this body is still surprising.
Objective: to describe a case of De Garengeot hernia.
Description: a case of an 84 year- old female patient, who came to the emergency room for consultation due to irreducible femoral hernia and a suggestive clinical condition of mechanical intestinal obstruction, is presented.
Intervention: exploratory laparotomy was performed. During surgery a tumor in the rectosigmoid junction is found as a cause of intestinal obstruction and the vermiform appendix was found to be the content of this femoral hernia. Appendectomy and decompressive loop transversostomy are performed. Due to the characteristics of inguinal and femoral canals, the presence of the appendix within these canals is uncommon; that is why the diagnosis of this type of hernia is usually intraoperative.
Conclusions: De Garengeot hernia should be more widely discussed in conventional surgery texts since it is a condition to be well described and typified in the history of modern surgery which, like other types of hernias, as Littre and Maydl, is a rare entity. Its late diagnosis is high risk to the patient.

REFERENCES

1. Contreras R, García La Rotta J, González Avilés J. Hernia de Amyand del lado izquierdo: revisión de la bibliografía y comunicación de un caso. Revista de Especialidades Médico-Quirúrgicas. 2008;13(2):88-92.

2. Akopian G, Alexander M. De Garengeot hernia: appendicitis within a femoral hernia. Am Surg. 2005;71:526.

3. Nguyen ET, Komenaka IK. Strangulated femoral hernia containing a perforated appendix. Can J Surg. 2004;47:68-9.

4. Voitk AJ, Macfarlane KR. Ruptured appendicitis in femoral hernias: Report of two cases and review of the literature. Ann Surg. 1974;179:24-6.

5. Priego P, Lobo E, Moreno I, Sánchez-Picot S. Apendicitis aguda en una hernia crural incarcerada: análisis de nuestra experiencia. Rev Esp Enferm Dig. 2005;97:707-15.

6. López-Rodríguez P, Hernández-Torres L, López-Delgado FR. Hernia de Amyand: presentación de dos casos. Rev Cubana Cir. 2005;44(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932005000100010&lng=es&nrm=iso

7. Torres HD, Roselló FJR, Del Campo AR, Canals PP, Weinman ES. Hernia de Amyand: presentación de un caso y revisión de la literatura. Arch Cir Gen Dig. 2003;22:1-5.

8. Comman A, Gaetzscmann P, Hanner T, Behrend M. De Garengeot hernia: transabdominal preperitoneal hernia repair and appendectomy. JSLS. 2007;11:496.

9. Sharma H, Jha PK, Shekhawat NS. De Garengeot hernia: an analysis of our experience. Hernia. 2007;11:235.