scholarly journals Appendicitis in De Garengeot's Hernia Presenting as a Nontender Inguinal Mass: Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
K. Ahmed ◽  
K. Bashar ◽  
T. J. McHugh ◽  
S. M. McHugh ◽  
E. Kavanagh
Keyword(s):  
Femoral Hernia ◽  
Perforated Appendicitis ◽  
Hernia Sac ◽  
Inguinal Mass ◽  
Uncommon Presentation ◽  
Preoperative Ct ◽  
Perforated Appendix ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
Low Sensitivity

Introduction. De Garengeot first described a femoral hernia containing the appendix in 1731. Appendicitis occurring in this rare clinical setting represents a challenge in diagnosis and management.Case Presentation. We present the case of a 71-year-old male with a three-day history of a nontender inguinal mass. Computed tomography (CT) suggested a femoral hernia. Intraoperatively, the hernia sac was noted to contain a perforated appendix.Discussion. This is an infrequently reported clinical scenario and only the 14th reported case in peer-reviewed literature which includes preoperative CT images. Our case adds to previously reported low sensitivity of CT for diagnosing De Garengeot’s hernia. Furthermore, unlike our case the vast majority of previous reports noted a painful inguinal swelling.Conclusion. Perforated appendicitis in a femoral hernia is an extremely uncommon presentation. However, consideration should be given to De Garengeot’s hernia in patients with a groin mass, even if nontender.

De Garengeot’s hernia in an elderly woman as a diagnostic challenge: a review of literature

2021 ◽  
Vol 14 (1) ◽  
pp. e237526
Author(s):  
Zeeshan Saboor Ahmed ◽  
Sufyan Azam ◽  
Ayeshea Shenton ◽  
Akinfemi Ayobami Akingboye
Keyword(s):  
Femoral Hernia ◽  
Elderly Woman ◽  
Final Diagnosis ◽  
Diagnostic Challenge ◽  
Midline Laparotomy ◽  
Hernia Sac ◽  
Blind Ending ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
The Right

De Garengeot’s hernia is the presence of an appendix in a femoral hernia and can be a rare cause of an acute groin swelling. Here, we present a case report of an elderly woman who was referred to us with a short history of a painful, tender lump in the right groin associated with nausea and vomiting. Her inflammatory markers were raised, and to establish a final diagnosis, an urgent CT scan was requested which showed a blind ending tubular structure in a hernia sac. She was taken to the theatre for urgent exploration of the groin which revealed that it was a femoral hernia, the sac of which contained gangrenous appendix, the base of which could not be accessed through the groin incision and, therefore, a lower midline laparotomy incision was made and a formal appendicectomy was done.

scholarly journals De Garengeot’s hernia - a case of incarcerated femoral hernia with acute gangrenous appendicitis and literature review

2020 ◽  
Vol 73 (7-8) ◽  
pp. 239-244
Author(s):  
Veselin Stanisic ◽  
Miodrag Radunovic ◽  
Miljan Zindovic ◽  
Balsa Stanisic
Keyword(s):  
Literature Review ◽  
Femoral Hernia ◽  
Extensive Literature ◽  
Rare Type ◽  
Hernia Sac ◽  
Urgent Surgery ◽  
Gangrenous Appendicitis ◽  
Defect Repair ◽  
De Garengeot’S Hernia ◽  
Immediate Surgery

Introduction. De Garengeot?s hernia is a rare type of femoral hernia that contains the appendix within the hernia sac and it is found in 0.5-5% of cases. The incidence of appendicitis within the de Garengeot?s hernia is 0.08-0.13%. We present a case of de Garengeot?s hernia with a gangrenous appendicitis and an extensive literature review of published cases. Case Report. We present a case of a 68-year-old woman who underwent urgent surgery due to an incarcerated femoral hernia and preoperatively undiagnosed de Garengeot?s hernia with a gangrenous appendicitis within the femoral hernia sac. Conclusion. De Garengeot?s hernia is most commonly diagnosed intraoperatively and requires immediate surgery in order to avoid complications. There are no recommendations regarding the choice of surgical procedure for femoral defect repair.

Rare case of perforated appendicitis presenting as persistent perineal discharge following laparoscopic abdominoperinal excision of rectum (APER)

2021 ◽  
Vol 14 (1) ◽  
pp. e236312
Author(s):  
Tanmoy Mukherjee ◽  
Shantata Jayant Kudchadkar ◽  
Jayesh Sagar ◽  
Shashank Gurjar
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Perforated Appendicitis ◽  
Perineal Wound ◽  
Abdominoperineal Excision ◽  
Major Surgery ◽  
Salvage Procedure ◽  
Uncommon Presentation ◽  
Rare Case Report ◽  
History Of

Abdominoperineal excision of rectum (APER) is one of the widely used surgical procedures to treat low rectal cancer, benign conditions like Crohn’s proctitis with anal involvement and as a salvage procedure for anal cancer. Perineal wound infection is a well-recognised complication following such major surgery. Occurrence of appendicitis in a few weeks’ time following such a major surgery is uncommon. However, here we present a rare case report of perforated appendicitis presenting as persistent perineal discharge in an elderly man, following laparoscopic APER for a low rectal tumour. To our knowledge, this is the first time such a rare clinical presentation of appendicitis is reported in the history of medical literature. Through this case report, we aim to highlight the importance of considering such an uncommon presentation in patients with perineal discharge, following APER.

scholarly journals Amyand hernia: scrotal pyocele, associated with perforated vermiform appendix and complicated by testicular ischemia in neonate

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Ammar Omran ◽  
Bardisan Sleman Gawrieh ◽  
Aras Abdo ◽  
Mohammad Ali Deeb ◽  
Mohammad Almahmod Khalil ◽  
...  
Keyword(s):  
Spermatic Cord ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Perforated Appendix ◽  
History Of ◽  
Testicular Ischemia ◽  
Amyand Hernia ◽  
The Right ◽  
Bluish Discoloration

Abstract The presence of vermiform appendix in an inguinal hernia sac is known as Amyand’s hernia. This research paper examines the case of a 28-day-old Syrian male presented with a history of an infected right-sided hydrocele from the age of 14 days. Upon admission, ultrasonography was reported as a right testicular torsion. Accordingly, emergency surgical exploration was performed, and by exposing the spermatic cord fascia, 7 mL of pus was drained, revealing the cecum and perforated appendix lying beside the right testis, which showed evidence of ischemia and bluish discoloration.

De Garengeot’s Hernia; Acute Appendicitis In An Incarcerated Femoral Hernia

2015 ◽  
Vol 87 (7) ◽  
Author(s):  
Maciej Kokoszka ◽  
Jacek Wójtowicz
Keyword(s):  
Acute Appendicitis ◽  
Emergency Room ◽  
Female Patient ◽  
Femoral Hernia ◽  
Therapeutic Process ◽  
Diagnostic Difficulties ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
Painful Mass ◽  
The Right

AbstractAcute appendicitis and incarcerated femoral hernia belong to relatively well known surgical diseases with regard to diagnostic workup and treatment. de Garengeot’s hernia is an entity involving concurrent occurrence of both the above mentioned problems.This paper presents history of a 58-year old female patient who was diagnosed with this extremely rare syndrome. She presented to the Emergency Room of a hospital in Żyrardów due to painful mass in the right groin region, persisting for approximately 24 hours.De Garengeot’s hernia, through combination of two separate surgical entities, is associated with diagnostic difficulties and the therapeutic process occasionally requires unconventional decisions to be taken to improve prognosis.

scholarly journals The rare case of De Garengeot hernia: femoral hernia containing perforated appendicitis

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Lei Ying ◽  
Jeong-Moh John Yahng
Keyword(s):  
Femoral Hernia ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Perforated Appendicitis ◽  
Vermiform Appendix ◽  
Hernia Sac ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Groin Hernias ◽  
De Garengeot Hernia

Abstract Femoral hernias account for ~4% of all groin hernias but are much more common in females, especially those over the age of 70. Risk of incarceration is overall low but can include structures such as bowel, omentum, bladder, ovary and very rarely, the appendix. The subset of femoral hernias containing the vermiform appendix is known as de Garengeot hernias. We describe a rare case of an 87-year-old female patient who presented with an incarcerated right femoral hernia confirmed on contrast-enhanced computed tomography scan of the abdomen and pelvis, with subsequent open hernia reduction revealing a perforated necrotic appendix with pus contained in the hernia sac. Histopathology revealed acute appendicitis with increased stromal fibrosis suggestive of a chronic process. Pre-operative diagnosis of de Garengeot hernias remains challenging due to their non-specific presentation and attenuated clinical symptoms, and most diagnoses are made intraoperatively.

scholarly journals Unusual presentation of De Garengeot hernia

2019 ◽  
Vol 12 (7) ◽  
pp. e230455 ◽  
Author(s):  
Chang Woo Lee ◽  
Angelos Mantelakis ◽  
Md Abu K Nahid ◽  
Ashish Shrestha
Keyword(s):  
Weight Loss ◽  
Ct Scan ◽  
Femoral Hernia ◽  
Vermiform Appendix ◽  
Lymph Node Biopsy ◽  
Hernia Sac ◽  
History Of ◽  
Systemic Symptoms ◽  
Loss Of Appetite ◽  
De Garengeot Hernia

De Garengeot hernia describes a rare phenomenon in which a vermiform appendix is found in a femoral hernia sac. We describe a case of De Garengeot hernia presenting as a groin lump associated with loss of appetite, weight loss and fatigue. A 72-year-old woman was referred to our rapid access 2-week clinic as isolated lymphadenopathy with a 4-week history of a gradual right groin swelling accompanied by an unintentional weight loss, lethargy and anorexia. An urgent excisional lymph node biopsy was performed preceding the CT scan of the chest, abdomen and pelvis. The biopsy showed a shaving of appendix wall, and the CT scan revealed a right-sided femoral hernia with appendix as its content. The patient was urgently contacted for a laparoscopic appendicectomy and an open right femoral hernia repair. The patient recovered well postoperatively, and her systemic symptoms fully resolved when reviewed 10 weeks after the operation.

scholarly journals De Garengeot's hernia: a case of acute appendicitis in a femoral hernia sac

2013 ◽  
Vol 19 (4) ◽  
pp. 380-382 ◽  
Author(s):  
Ceren Sen Tanrikulu ◽  
Yusuf Tanrikulu ◽  
Nezih Akkapulu
Keyword(s):  
Acute Appendicitis ◽  
Femoral Hernia ◽  
Hernia Sac ◽  
De Garengeot’S Hernia

scholarly journals P155 DE GARENGEOT HERNIA: A CASE REPORT

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Enrico Ferri ◽  
Melania Claudia Fanelli ◽  
Lorenzo Latham ◽  
Davide Inversini ◽  
Murad Odeh ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Hernia ◽  
Open Appendectomy ◽  
Rare Type ◽  
Hernia Sac ◽  
The Us ◽  
Direct Hernia ◽  
Surgical Options ◽  
De Garengeot’S Hernia ◽  
De Garengeot Hernia

Abstract Aim “The De Garengeot’s hernia, from Rene De Garengeot, who was the first to describe the appendix inside a femoral hernia sac in 1731, is a rare type of crural hernia. The diagnosis is challenging and surgery must be performed without delay. The incidence of appendicitis in this type of hernia is about 0.08-0.13%. The aim of this work is to describe our experience in the management of this rare subtype of hernia in a 82-year-old women” Material and Methods “A 82-year-old patient with a right groin bulge presented to the Emergency. At the physical examination the abdomen was treatable; there was no sign of bowel obstruction. Blood test values were normal, except for a high PCR value. The US of the groin region demonstrated a right femoral hernia containing a bowel tract, irreducible at the probe’s pressure. The patient underwent surgery, with diagnosis of De Garengeot’s hernia; a direct hernia repair followed by an open appendectomy were performed. The patient did not present any complications and was discharged on the second postoperative day” Results “The De Garengeot hernia is a rare entity that requires an early treatment; the preoperative diagnosis is difficult and often clinical features are similar to a common incarcerated hernia. There are many surgical options for the management of the De Garengeot hernia, but there is not a consensus for the best surgical approach” Conclusions “De Garengeot's hernia is rare, being indistinguishable from an incarcerated femoral hernia in general. This case report is about a De Garengeot’s hernia patient, who presented a good recovery after surgery.”

scholarly journals 1412 De Garengeot's Hernia Complicated by Perforated Appendicitis and Groin Abscess: Report of A Rare Surgical Emergency

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Singh ◽  
A Abdelrahman ◽  
S Abdalla
Keyword(s):  
Femoral Hernia ◽  
Perforated Appendicitis ◽  
Vermiform Appendix ◽  
Abscess Cavity ◽  
Cross Sectional ◽  
Gold Standard Method ◽  
Cross Sectional Imaging ◽  
De Garengeot’S Hernia ◽  
The Right ◽  
Groin Abscess

Abstract Introduction De Garengeot's hernia is a rare subtype of femoral hernia which contains the vermiform appendix. Acute appendicitis in a femoral hernia is even more unusual, accounting for 0.08% - 0.13% of all cases of femoral hernias. Case presentation A 91-year-old woman was referred with a painful, cellulitic right groin mass. A computed tomography scan demonstrated a right-sided femoral hernia containing a loop of bowel and a collection in the right groin containing fluid and gas. The patient had early dementia but no other major medical co-morbidities. At surgery, she was found to have perforated appendicitis in a right femoral hernia. Most of the appendix and sac had fully disintegrated, forming a large abscess cavity beneath the skin in the right groin which extended down to the upper labia majora. The appendix tip was lying deep within the abscess cavity. A modified McEvedy approach was used to access the peritoneal cavity for the appendicectomy and sutured repair of the femoral neck. The groin abscess cavity was drained and managed with a negative pressure (VAC) dressing. Discussion De Garengeot's hernia is often difficult to diagnose pre-operatively and reporting of cross-sectional imaging may not always be reliable. Currently, there is no gold standard method for repairing these hernias. However, the modified McEvedy approach is well-described and is the preferred technique for emergent femoral hernia presentations. It provides sufficient access to manage both appendicitis and the femoral hernia. Adjuncts such as negative pressures dressings may be used to manage concomitant abscess cavities.

Sign in / Sign up

Export Citation Format

Share Document