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Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

De Garengeot's hernia in a 60-year-old woman: a case report

Authors: Petros Konofaos, Eleftherios Spartalis, Anastasios Smirnis, Konstantinos Kontzoglou, Grigorios Kouraklis

Published in: Journal of Medical Case Reports | Issue 1/2011

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Abstract

Introduction

De Garengeot first described the presence of the appendix within a femoral hernia in 1731.

Case presentation

We report the case of a 66-year-old Caucasian woman who presented with acute appendicitis within an incarcerated femoral hernia. This is the first reported case of de Garengeot's hernia in the Balkan area.

Conclusions

Appropriate management without incurring any delay for radiological imaging can be promising for an uneventful postoperative course. The treatment of choice of this disease entity is emergency surgery and consists in simultaneous appendectomy through the hernia incision and primary hernia repair. In patients with large hernia defects or in older people the use of mesh for repairing the hernia defect can be an excellent choice.
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Literature
1.
go back to reference De Garengeot RJC: Traite des operations de chirurgie. 1731, Paris: Huart, 369-371. 2 De Garengeot RJC: Traite des operations de chirurgie. 1731, Paris: Huart, 369-371. 2
2.
go back to reference Tanner N: Strangulated femoral hernia appendix with perforated sigmoid diverticulitis. Proc Roy Soc Med. 1963, 56: 1105-1106.PubMed Tanner N: Strangulated femoral hernia appendix with perforated sigmoid diverticulitis. Proc Roy Soc Med. 1963, 56: 1105-1106.PubMed
3.
go back to reference Rajan SS, Girn HR, Ainslie WG: Inflamed appendix in a femoral hernial sac: de Garengeot's hernia. Hernia. 2009, 13 (5): 551-553. 10.1007/s10029-009-0472-7.CrossRefPubMed Rajan SS, Girn HR, Ainslie WG: Inflamed appendix in a femoral hernial sac: de Garengeot's hernia. Hernia. 2009, 13 (5): 551-553. 10.1007/s10029-009-0472-7.CrossRefPubMed
4.
go back to reference Carey LC: Acute appendicitis occurring in hernias: a report of ten cases. Surgery. 1967, 61: 236-238.PubMed Carey LC: Acute appendicitis occurring in hernias: a report of ten cases. Surgery. 1967, 61: 236-238.PubMed
5.
go back to reference Zissin R, Brautbar O, Shapiro-Feinberg M: CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol. 2000, 73: 1013-1014.CrossRefPubMed Zissin R, Brautbar O, Shapiro-Feinberg M: CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol. 2000, 73: 1013-1014.CrossRefPubMed
6.
go back to reference Akopian G, Alexander M: De Garengeot hernia: appendicitis within a femoral hernia. Am Surg. 2005, 71: 526-527.PubMed Akopian G, Alexander M: De Garengeot hernia: appendicitis within a femoral hernia. Am Surg. 2005, 71: 526-527.PubMed
7.
go back to reference Isaacs LE, Felsenstein C: Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass. J Emerg Med. 2002, 23: 15-18. 10.1016/S0736-4679(02)00455-9.CrossRefPubMed Isaacs LE, Felsenstein C: Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass. J Emerg Med. 2002, 23: 15-18. 10.1016/S0736-4679(02)00455-9.CrossRefPubMed
8.
go back to reference Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R: Uncommon content in groin hernia sac. Hernia. 2006, 10: 152-155. 10.1007/s10029-005-0036-4.CrossRefPubMed Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R: Uncommon content in groin hernia sac. Hernia. 2006, 10: 152-155. 10.1007/s10029-005-0036-4.CrossRefPubMed
9.
go back to reference Fukukura Y, Chang SD: Acute appendicitis within a femoral hernia: multidetector CT findings. Abdom Imaging. 2005, 30: 620-622. 10.1007/s00261-004-0283-3.CrossRefPubMed Fukukura Y, Chang SD: Acute appendicitis within a femoral hernia: multidetector CT findings. Abdom Imaging. 2005, 30: 620-622. 10.1007/s00261-004-0283-3.CrossRefPubMed
10.
go back to reference Cordera F, Sarr MG: Incarcerated appendix in a femoral hernia sac. Contemp Surg. 2003, 59: 35-37. Cordera F, Sarr MG: Incarcerated appendix in a femoral hernia sac. Contemp Surg. 2003, 59: 35-37.
11.
go back to reference Barbaros U, Asoglu O, Seven R, Kalayci M: Appendicitis in incarcerated femoral hernia. Hernia. 2004, 83: 281-282. Barbaros U, Asoglu O, Seven R, Kalayci M: Appendicitis in incarcerated femoral hernia. Hernia. 2004, 83: 281-282.
12.
13.
go back to reference Priego P, Lobo E, Moreno I, Sanchez-Picot S, Gil Olarte MA, Alonso N, Fresneda V: Acute appendicitis in an incarcerated crural hernia: analysis of our experience. Rev Esp Enferm Dig. 2005, 97: 707-715.CrossRefPubMed Priego P, Lobo E, Moreno I, Sanchez-Picot S, Gil Olarte MA, Alonso N, Fresneda V: Acute appendicitis in an incarcerated crural hernia: analysis of our experience. Rev Esp Enferm Dig. 2005, 97: 707-715.CrossRefPubMed
Metadata
Title
De Garengeot's hernia in a 60-year-old woman: a case report
Authors
Petros Konofaos
Eleftherios Spartalis
Anastasios Smirnis
Konstantinos Kontzoglou
Grigorios Kouraklis
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-258

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