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Review
. 2016 Oct 7;11(1):354-360.
doi: 10.1515/med-2016-0065. eCollection 2016.

Garengeot's hernia: two case reports with CT diagnosis and literature review

Cristina Garcia-Amador  1 , Roberto De la Plaza  2 , Vladimir Arteaga  2 , Aylhin Lopez-Marcano  2 , Jose Ramia  2
Affiliations
Review

Garengeot's hernia: two case reports with CT diagnosis and literature review

Cristina Garcia-Amador et al. Open Med (Wars). .

Abstract

Garengeot's hernia (GH) is defined as the presence of the appendix inside a femoral hernia. It occurs in 0.9% of femoral hernias and is usually an incidental finding during surgery. Its treatment is controversial and the aim of this article is to review the diagnostic methods and surgical considerations. We report two cases diagnosed preoperatively by contrast-enhanced computed tomography (CT) and discuss the treatment options based on a review of the literature published in PubMed updated on 1 December, 2015. Fifty articles reporting 64 patients (50 women, mean age 70 years) with GH were included in the analysis. Diagnosis was performed by preoperative CT in only 24 cases, including our two. The treatment of GH is emergency surgery. Several options are available laparoscopic or open approach: insertion of a mesh or simple herniorrhaphy, with or without appendectomy.

Conslusion: The preoperative diagnosis with CT can guide the choice of treatment. Appendectomy and hernioplasty should be performed via inguinotomy, if there is no perforation or abscess formation.

Keywords: Amyand’s hernia; Appendicitis; Appendix; Garengeot’s hernia; Hernia, femoral; Hernia, inguinal.

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Conflict of interest statement

The Authors have no conflict of interestAuthors state no conflict of interest.

Figures

Figure 1
Figure 1
Case Report 1 Contrast-enhanced CT of the abdomen. (A) Axial view: tubular structure containing gas within the femoral hernia. (B) Coronal and (C) sagittal views: tubular structure extending from the caecal base.
Figure 2
Figure 2
Case Report 1 Inflamed appendix inside the femoral hernia sac.
Figure 3
Figure 3
A, B, C, D Case Report 2. CT images Arrow: Appendix
See this image and copyright information in PMC

References

    1. De Garengeot RJC. Traite des operations de chirurgie. 2nd Ed. Paris, Huart: 1731. pp. 369–371.
    1. Konofaos P., Spartalis E, Smirnis A., Kontzoglou K., Kouraklis G.. De Garengeot’s hernia in a 60-year-old woman: a case report. Journal of Medical Case Reports. 2011;5:258. - PMC - PubMed
    1. Rajan S.S., Girn H.R., Ainslie W.G.. Inflamed appendix in a femoral hernia sac: de Garengeot’s hernia. Hernia. 2009;13(5):551–553. - PubMed
    1. Akopian G., Alexander M.. De Garengeot Hernia. Appendicitis within a Femoral Hernia. Am Surg. 2005;71(6):526–527. - PubMed
    1. Shands A.R.. Inflamed Appendix in the Sac of a Femoral Hernia. Ann Surg. 1904;40(3):380–381. - PMC - PubMed

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