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Case Reports
. 2019 Apr 16:2019:6759206.
doi: 10.1155/2019/6759206. eCollection 2019.

Two Rare Cases of Appendicitis: Amyand's Hernia and De Garengeot's Hernia

Kimberly A Schaaf  1 , Eric M Melnychuk  1 , Ross D Ellison  1 , Amy J Snover  1
Affiliations
Case Reports

Two Rare Cases of Appendicitis: Amyand's Hernia and De Garengeot's Hernia

Kimberly A Schaaf et al. Case Rep Emerg Med. .

Abstract

An Amyand's hernia is an inguinal hernia that contains vermiform appendix. De Garengeot's hernias are similar; however, in this case the appendix is within a femoral hernia. Both types of hernia are rare, and those hernias associated with appendicitis, perforation, or abscess are even scarcer presentations. The treatment of Amyand's hernia and De Garengeot's hernia is not standardized. Generally, hernia repair is performed but disagreement remains regarding the use of mesh and performing appendectomy. This case series describes two individuals with appendicitis presenting to one emergency department within a 24-hour time frame. One case is of a patient with Amyand's hernia and another case is a patient with De Garengeot's hernia with an adjacent abscess. Both individuals were managed with appendectomy and hernia repair without the use of mesh.

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Figures

Figure 1
Figure 1
CT abdomen/pelvis image of Amyand's hernia is referenced by arrow.
Figure 2
Figure 2
A second CT abdomen/pelvis image of Amyand's hernia is indicated by arrow.
Figure 3
Figure 3
CT abdomen/pelvis image of right sided De Garengeot's hernia with adjacent abscess measuring 4.3 cm x 3.5 cm transversely.
See this image and copyright information in PMC

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