Images in Clinical Medicine
De Garengeot's Hernia
N Engl J Med 2009; 361:e18September 10, 2009
- Article
An 83-year-old woman presented with a 1-week history of an enlarging, painful bulge in the right groin. Examination of the abdomen revealed a diffusely tender and erythematous right-groin mass extending to the right labium (Panel A). The examination was otherwise unremarkable. On exploration of the right groin, an abscess was found and drained, and necrotic tissue was observed within the femoral canal. An infraumbilical abdominal incision was made. The appendix, with a necrotic distal portion (Panel B), was found within the femoral canal. The presence of a vermiform appendix in a femoral hernia sac, termed de Garengeot's hernia, was first described in 1731, which was 5 years before the first reported appendectomy. De Garengeot's hernia is often misdiagnosed as an incarcerated or strangulated femoral hernia. It is distinct from Amyand's hernia, in which the appendix is within an inguinal hernia sac. In this case, we performed an open appendectomy, and the hernia was primarily closed. Full wound closure was noted during a follow-up visit.
Augustine Chung, B.A.
Amitabh Goel, M.D.
Case Western Reserve University, Cleveland, OH 44106
amitabh.goel@uhhospitals. org - Citing Articles (2)
Citing Articles
1
A. W. Phillips, S. R. Aspinall. (2011) Appendicitis and Meckel’s diverticulum in a femoral hernia: simultaneous De Garengeot and Littre’s hernia. Hernia
CrossRef2
Phillippa Caygill, Rajesh Nair, Mali Sajjanshetty, Daren Francis. (2011) An unusual groin exploration: De Garengeot's hernia. International Journal of Surgery Case Reports 2:5, 74-75
CrossRef
