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Case Reports
. 2009 Jul-Sep;13(3):455-7.

De Garengeot hernia

B Thomas  1 , M Thomas, B McVay, J Chivate
Affiliations
Case Reports

De Garengeot hernia

B Thomas et al. JSLS. 2009 Jul-Sep.

Abstract

Background and objectives: We report a case of appendicitis presenting in an incarcerated femoral hernia, otherwise known as de Garengeot hernia. This rare hernia usually presents with both diagnostic and therapeutic dilemmas. We wish to underline the usefulness of laparoscopy in both the diagnosis and treatment of de Garengeot hernias.

Methods: A diagnostic laparoscopy was performed initially. The appendix was seen to disappear into the hernia sac. A laparoscopic appendectomy was then performed prior to open exploration of the groin.

Results: We were able to obtain a correct diagnosis and perform an appendectomy prior to making a groin incision. Operative findings included an incarcerated, inflamed appendix within a femoral hernia.

Conclusions: Diagnostic laparoscopy could be a valuable tool in the correct diagnosis and management of unusual presentations of incarcerated groin hernias.

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Figures

Figure 1.
Figure 1.
External view of the patient's right groin swelling.
Figure 2.
Figure 2.
CT scan of the abdomen showing the abscess-like collection (white arrow) in the right lower quadrant.
Figure 3.
Figure 3.
Laparoscopic view of the femoral hernia with the incarcerated appendix.
Figure 4.
Figure 4.
Laparoscopic view of the hernia orifice after repair.
See this image and copyright information in PMC

References

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    1. De Garengeot RJC. Traite des operations de chuirgie. 2nd ed. Paris: Huart; 1731:369–371
    1. Akopian G, Alexander M. De Garengeot Hernia. Appendicitis within a Femoral Hernia. Am Surg. 2005;71(6):526–527 - PubMed
    1. Unguent ET, Komenaka IK. Strangulated femoral hernia containing a perforated appendix. Can J Surg. 2004;47(1):69 - PMC - PubMed

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