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

Konofaos P, Spartalis E, Smirnis A, Kontzoglou K, Kouraklis G - J Med Case Rep (2011)

Bottom Line: This is the first reported case of de Garengeot's hernia in the Balkan area.Appropriate management without incurring any delay for radiological imaging can be promising for an uneventful postoperative course.In patients with large hernia defects or in older people the use of mesh for repairing the hernia defect can be an excellent choice.

View Article: PubMed Central - HTML - PubMed

Affiliation: 2nd Department of Propedeutic Surgery, 'LAIKO' General Hospital, 36, Megistis Str, Athens 11364, Greece. petros_konofaos@yahoo.com.

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.

No MeSH data available.


Related in: MedlinePlus

Preoperative frontal view that demonstrates a red, round bulge in the groin area. The black dotted line shows how the curved low inguinal incision was performed
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Figure 1: Preoperative frontal view that demonstrates a red, round bulge in the groin area. The black dotted line shows how the curved low inguinal incision was performed

Mentions: A presumptive diagnosis of a chronically incarcerated femoral or inguinal hernia versus a strangulated hernia or an inguinal abscess was made with plans for a right groin exploration using a more curved low inguinal incision under general anesthesia (Figure 1). When the hernia sac was opened, an inflamed appendix was seen. The appendix was thickened and inflamed, but there was no perforation. Intraoperative findings were consistent with an inflamed and gangrenous appendix protruding through the femoral hernial sac (Figure 2). Routine appendectomy was performed through the hernial sac. The mouth of the hernia was wide and the senior surgeon was even able to pass a finger through the hernia into the peritoneal cavity. The hernial sac was closed using a V-shaped polypropylene mesh. A broad-spectrum antibiotic cover was provided at induction. The postoperative course was uneventful and the patient was discharged home on the third day after the procedure. The histological examination was consistent with acute appendicitis.


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

Konofaos P, Spartalis E, Smirnis A, Kontzoglou K, Kouraklis G - J Med Case Rep (2011)

Preoperative frontal view that demonstrates a red, round bulge in the groin area. The black dotted line shows how the curved low inguinal incision was performed
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3141709&req=5

Figure 1: Preoperative frontal view that demonstrates a red, round bulge in the groin area. The black dotted line shows how the curved low inguinal incision was performed
Mentions: A presumptive diagnosis of a chronically incarcerated femoral or inguinal hernia versus a strangulated hernia or an inguinal abscess was made with plans for a right groin exploration using a more curved low inguinal incision under general anesthesia (Figure 1). When the hernia sac was opened, an inflamed appendix was seen. The appendix was thickened and inflamed, but there was no perforation. Intraoperative findings were consistent with an inflamed and gangrenous appendix protruding through the femoral hernial sac (Figure 2). Routine appendectomy was performed through the hernial sac. The mouth of the hernia was wide and the senior surgeon was even able to pass a finger through the hernia into the peritoneal cavity. The hernial sac was closed using a V-shaped polypropylene mesh. A broad-spectrum antibiotic cover was provided at induction. The postoperative course was uneventful and the patient was discharged home on the third day after the procedure. The histological examination was consistent with acute appendicitis.

Bottom Line: This is the first reported case of de Garengeot's hernia in the Balkan area.Appropriate management without incurring any delay for radiological imaging can be promising for an uneventful postoperative course.In patients with large hernia defects or in older people the use of mesh for repairing the hernia defect can be an excellent choice.

View Article: PubMed Central - HTML - PubMed

Affiliation: 2nd Department of Propedeutic Surgery, 'LAIKO' General Hospital, 36, Megistis Str, Athens 11364, Greece. petros_konofaos@yahoo.com.

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.

No MeSH data available.


Related in: MedlinePlus