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

Walter de Gruyter GmbH - Tập 11 Số 1 - Trang 354-360 - 2016
Cristina García-Amador1, Roberto de la Plaza Llamas2, Vladimir Arteaga2, Aylhin López-Marcano2, José Manuel Ramia2
1C/Donantes de Sangre s/n, Guadalajara 19002, Spain
2Department of Surgery, Hospital Universitario de Guadalajara, C/Donantes de Sangre s/n, Guadalajara 19002, Spain

Tóm tắt

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.

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Tài liệu tham khảo

De Garengeot RJC., Traite des operations de chirurgie, 2nd Ed Paris, Huart, 1731, 369-371

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

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

Akopian G., Alexander M., De Garengeot Hernia. Appendicitis within a Femoral Hernia, Am Surg, 2005, 71(6),526-527

Shands A.R., Inflamed Appendix in the Sac of a Femoral Hernia, Ann Surg, 1904, 40(3), 380-381

Gerami .S, Easley G.W., Mendoza C.B., Appendiceal abscess as contents of right femoral hernia. A case report, International Surgery, 1970, 53(5), 354-356

Voitk A.J., MacFarlane J.K., Estrada R.L., Ruptured appendicitis in femoral hernias: report of two cases and review of the literature, Ann Surg, 1974, 179(1), 24-26

Cutolo L., Wasserman I., Pinck R., Mainzer R.A., Acute suppurative appendicitis occurring within a femoral hernia: report of a case, Dis Colon Rectum, 1978, 1(3), 203-204

Guirguis E.M., Taylor G.A., Chadwick C.D., Femoral appendicitis: an unusual case, Can J Surg, 1989, 32(5),380-381

Zissin R., Brautbar O., Shapiro-Feinberg M., CT diagnosis of acute appendicitis in a femoral hernia, Br J Radiol, 2000, 73(873),1013-1014

Isaacs L.E., Felsenstein C.H., Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass, J Emerg Med, 2002, 23(1),15-18

Mansari O., Sakit F., Janati M.I., Accute apendicitis on crural hernia, Presse Med, 2002, 31(24),1129-1130

Nguyen E.T., Komenaka I.K., Strangulated femoral hernia containing a perforated appendix, Can J Surg, 2004, 47(1),68-69

Barbaros U., Asoglu O., Seven R., Kalayci M., Appendicitis in incarcerated femoral hernia, Hernia, 2004, 8(3), 281-282

Fukukura Y., Chang S.D., Acute appendicitis within a femoral hernia: multidetector CT findings, Abdom Imaging, 2005, 30(5), 620-622

Priego P., Lobo E., Moreno I., Sánchez-Picot S., Gil M.A., Alonso N., et al, Acute apendicitis in an incarcerated crural hernia: analysis of our experience, Rev Esp Enferm Dig, 2005, 97(10),707-715

D’Ambrosio N., Katz Z., Hines J., Perforated appendix within a femoral hernia, AJR, 2006, 186(3), 906-907

Comman A., Gaetzschmann P., Hanner T., Behrend M., DeGarengeot hernia: transabdominal preperitoneal hernia repair and appendectomy, JSLS, 2007, 11(4),496-501

Gillion J.F., Bornet G., Hamrouni A., Julles M.C., Convard J.P., Amyand and de Garengeot’hernias, Hernia, 2007, 11,289-290

Sharma H., Jha P.K., Shekhawat N.S., Memon B., Memon M.A., De Garengeot hernia: an analysis of our experience, Hernia, 2007, 11(3), 235-238

Maizlin Z.V., Mason A.C., Brown C., Brown J.A., CT findings of normal and inflamed appendix in groin hernia, Emerg Radiol, 2007, 14(2), 97-100

Kibil W., Jedrys J., Matyja A., Legutko J., Kulig J., Appendix incarcerated in femoral hernia-case report, Folia Med Cracov, 2008, 49(1-2), 45-48

Chung A., Goel A., Images in clinical medicine. De Garengeot’s hernia, N Engl J Med, 2009, 361(11),18

Ebisawa K., Yamazaki S., Kimura, Kashio M., Kurito K., Yasumuro S., et al, Acute appendicitis in an incarcerated femoral hernia: a case of de Garengeot hernia, Case Rep Gastroenterol, 2009, 3(3), 313-317

Thomas B., Thomas M., McVay B., Chivate J., De Garengeot hernia, JSLS, 2009, 13(3),455-457

Ring A., Gelis V., Klupscha C., Stenr J., De Garengeot appendicitis-rare variant of a common medical condition, Zentralbl Chirm, 2009, 134(6), 564-566

Shah A., Janardhan H.S., De Garengeot hernia: a case report and review of literature, Indian J Surg, 2013, 75(Suppl 1),439-441

Caygill P., Nair R., Sajjanshetty M., Francis D., An unusual groin exploration: de Garengeot’s hernia, Int J Surg Case Rep, 2011, 2(5),74-75

Piperos T., Kalles V., Al Awhal Y., Konstantinou E., Skarpas G., Mariolis-Sapsakos T., Clinical significance of de Garengeot’s hernia: a case of acute appendicitis and review of the literature, Int J Surg Case Rep, 2012, 3(3),116-117

Allen B.C., Kirsch J., Szomstein S., De Garengeot Hernia, Radiology, 2012, 265 (2), 640-644

Phillips A.W., Aspinall S.R., Appendicitis and Meckel’s diverticulum in a femoral hernia: simultaneous De Garengeot and Littre’s hernia, Hernia, 2012, 16(6), 727-729

Salkade P.R., Chung A.Y., Law Y.M., De Garengeot’s hernia.: an unusual right groin mass due to acute appendicitis in an incarcerated femoral hernia, Hong Kong Med J, 2012, 18(5), 442-445

Coskun K., Kilbas Z., Yigit T., Simsek A., Harlak A., De Garengeot’s hernia: the importance of early diagnosis and its complications, Hernia, 2012, 16(6),731-733

Sen C., Tanrikulu Y., Akkapulu N., De Garengeot’s hernia: a case of acute appendicitis in a femoral hernia sac, Ulus Travma Acil Cerrahi Derg, 2013, 19 (4), 380-382

Hamcan S., Akgun V., Battal B., Karaman B., Acute perforated appendicitis in femoral hernia sac: CT imaging findings, BMJ Case Rep, 2013, (in press), 10.1136/bcr-2013-200050

Moris D., De Garengeot’s Hernia, Brief Reportd, 2013, 11.

Erdas E., Sias L., Licheri S., Secci L., Aresu S., Barbarossa M., et al, De Garengeot hernia with acute appendicitis, G Chir, 2013, 34(3),86-89

Ardeleanu V., Chicos S., Tutnaru D., A rare case of acute abdomen: Garengeot hernia, Chirurgia Bucur, 2013, 108(6), 896-899

Beysens M., Haeck L., Vindevoghel K., Laparoscopic appendectomy combined with TEP for de Garengeot hernia: case report, Acta Chir Belg, 2013, 113(6),468-470

Ramsingh J., Ali A., Cameron C., Al-Ani A., Hodnett R., Chorushyj C., De Garengeot’s hernia: diagnosis and surgical management of a rare type of femoral hernia, J Surg Case Rep, 2014, (in press), 10.1093/jscr/rju008

Schäfer H.M., von Holzen U., Nebiker C., Swelling of the right thigh for over 30 years-The rare finding of a De Garengeot hernia, Int J Surg Case Rep, 2014, 5(12),1120-1122

Madiha A., Rares H., Abdus S., De Garengeot hernia: a forgotten rare entity?, BMJ Case Rep, 2014, (in press),10.1136/bcr-2013-201413

Hao J., Yao J., Guo D., Sun W., Liang J., Jiang X., De Garengeot hernia: the ultrasound and computed tomographic findings in an 81-year-old woman, Am J Emerg Med, 2014, 32(5),486

Akbari K., Wood C., Hammad A., Midletton S., De Garengeot’s hernia: our experience of three cases and literature review, BMJ Case Rep, 2014, (in press), 10.1136/bcr-2014-205031

Ahmed K., Bashar K., McHugh T.J., Appendicitis in De Garengeot’s Hernia Presenting as a Nontender Inguinal Mass: Case Report and Review of the Literature, Case Rep Surg, 2014, 10.1155/2014/932638

Le H., Odom SR., Hsu A., Gupta A., Hauser C.J., A combined Richter’s and de Garengeot’s hernia, Int J Surg Case Rep, 2014, 5, 662-664

Hussain A., Slesser A.A., Monib S., Maalo J., Soskin M., Arbuckle J., A De Garengeot Hernia masquerading as a strangulated femoral hernia, Int J Surg Case Rep, 2014, 5(10),656-658

Snoekx R., Geyskens P., De Garengeot’s Hernia : Acute Appendicitis in a Femoral Hernia, Case Report and Literature Overview Acta Chir Belg, 2014, 114,149-151

Liipo T.K., Seppälä T.T., Mattila A., De Garengeot’s hernia: 40 years after Bassini inguinal hernioplasty, BMJ Case Rep, 2015, (in press), 10.1136/bcr-2014-208327

Talini C., Oliveira L.O., Araújo A., De Garengeot hernia: Case report and review, Int J Surg Case Rep, 2015, (in press), 10.1016/j.ijscr.2014.12.042

Pan C.W., Tsao M.J., Su C.S., A case of De Garengeot hernia requiring early surgery, BMJ Case Rep, 2015, (in press), 10.1136/bcr-2015-211102

Tancredi A., Bellagamba R., Cotugno M., Impagnatiello E., Torre P., Masi M., et al., De Garengeot’s Hernia: a Diagnostic Challenge, Indian J Surg, 2015 (in press), 10.1007/s12262-015-1266-z

Muffak K., Ramia J.M., Palomeque A., Segura M., Muñoz N., Garrote D., Ferron J.A., Hernia de Aymand. Cir And, 2004, 15, 155-156

Kalles V., Mekras A., Mekras D., Papapanagiotou I., Harethee W., Sotiropoulos G., et al, De Garengeot’s hernia: a comprenhensive review, Hernia, 2013, 17, 177-182

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Walter de Gruyter GmbH

Tập 11 Số 1

354-360

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