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Case Reports
. 2025 May;9(2):165-168.
doi: 10.5811/cpcem.35386.

De Garengeot Hernia with Acute Gangrenous Appendicitis Case Report

Leon Quach  1 , Alexsandra Biel  2 , Brett Todd  1
Affiliations
Case Reports

De Garengeot Hernia with Acute Gangrenous Appendicitis Case Report

Leon Quach et al. Clin Pract Cases Emerg Med. 2025 May.

Abstract

Introduction: A De Garengeot hernia is defined as a femoral hernia that contains the vermiform appendix. While femoral hernias carrying the appendix are uncommon, strangulation of the appendix in the hernial sac with concurrent acute appendicitis is an extremely rare and life-threatening condition often presenting with an atypical clinical picture.

Case report: A 51-year-old man presented to the emergency department with two weeks of persistent right inguinal pain after heavy lifting. Imaging revealed suspicion for an Amyand hernia, an inguinal hernia containing a portion of the appendix. However, intraoperative findings revealed a strangulated De Garengeot hernia with gangrenous appendicitis.

Conclusion: De Garengeot hernias are femoral hernias containing the appendix. They are diagnostically challenging and require urgent surgical evaluation and intervention given high risk for strangulation.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Right groin with overlying erythema and swelling.
Image 2
Image 2
Axial view of computed tomography of the abdomen pelvis showing the appendix within a femoral hernia (arrow).
Image 3
Image 3
Coronal view of a computed tomography of the abdomen pelvis with a dilated appendix at 12.9 millimeters (arrow) and inflammatory changes around the appendix and hernia.
See this image and copyright information in PMC

References

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Publication types