De Garengeot’s hernia – a rare clinical case and literature review
DOI:
https://doi.org/10.67572/91vp4554Keywords:
De Garengeot hernia, femoral canal, appendix, appendectomyAbstract
De Garengeot’s hernia represents an extremely rare form of femoral hernia with incarceration of the appendix within the hernial sac. The clinical presentation is nonspecific, which accounts for the high rate of intraoperative diagnosis. We present a 74-year-old female patient with a painful, irreducible mass in the right inguino-femoral region and signs of peritoneal irritation. Intraoperatively, a gangrenous appendix with perforation and fibrinopurulent peritonitis was found. Appendectomy and McVay repair were performed. De Garengeot’s hernia requires early recognition and appropriate surgical management.
References
1. Månsson C, Linder S, Linder G. Treatment of De Garengeot’s hernia: a meta-analysis. Hernia. 2019;23(1):131–141. doi:10.1007/s10029-018-1862-5 DOI: https://doi.org/10.1007/s10029-018-1862-5
2. Guenther TM, Theodorou CM, Grace NL, Rinderknecht TN, Wiedeman JE. De Garengeot hernia: a systematic review. Surg Endosc. 2021;35(2):503–513. doi:10.1007/s00464-020-07934-5 DOI: https://doi.org/10.1007/s00464-020-07934-5
3. Yan L, Zhang Y. Unusual case of De Garengeot hernia: femoral hernia containing purulent appendicitis in a 69-year-old man. J Int Med Res. 2021;49(7):1–6. doi:10.1177/03000605211028409 DOI: https://doi.org/10.1177/03000605211028409
4. Recuenco CB, García JGQ, Martín MC, Martínez L, et al. De Garengeot’s hernia: case report and literature review. Int J Surg Case Rep. 2019;64:58–61. doi:10.1016/j.ijscr.2019.09.019 DOI: https://doi.org/10.1016/j.ijscr.2019.09.037
5. Charlotte T, et al. De Garengeot’s hernia: case report. Int J Case Rep Images. 2014;5(12):812–815. [https://www.ijcasereportsandimages.com/archive/2014/012-2014-ijcri/CR-10456-12-2014-charlotte/]
6. Mushtaq B, Galantini G, Ottaway J, Khalid U, Myers R, Perrotti G, et al. Combined use of laparoscopy and an open inguinal approach for repair of a De Garengeot hernia. Front Med (Lausanne). 2024;12:1643775. doi:10.3389/fmed.2025.1643775 DOI: https://doi.org/10.7759/cureus.58771
