A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography
The de Garengeot hernia is an uncommon and potentially confounding pathologic process in which the appendix is contained within a femoral hernia. While typically a benign incidental finding, superimposed acute appendicitis is a rare but serious complication. Identification of this entity is crucial...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/5324320 |
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| author | Alyssa Goldbach Partha Hota Andrew Czulewicz Christine Burgert-Lon Omar Agosto |
| author_facet | Alyssa Goldbach Partha Hota Andrew Czulewicz Christine Burgert-Lon Omar Agosto |
| author_sort | Alyssa Goldbach |
| collection | DOAJ |
| description | The de Garengeot hernia is an uncommon and potentially confounding pathologic process in which the appendix is contained within a femoral hernia. While typically a benign incidental finding, superimposed acute appendicitis is a rare but serious complication. Identification of this entity is crucial to patient management and ultimately outcome with imaging playing a critical role. Cross-sectional imaging, with either CT or MRI, should be performed in all cases of suspected incarcerated de Garengeot hernia to facilitate the appropriate diagnosis and surgical intervention. Herein, we present the fifth case of a prospective CT diagnosis of the de Garengeot hernia in a 61-year-old female who presented with an irreducible right femoral hernia. The patient underwent CT examination which demonstrated the appendix within the femoral hernia sac with an associated periappendiceal fluid collection. The patient was taken for emergent surgical intervention at which time the appendix was found within the hernia sac. The appendix was removed, the defect repaired, and ultimately the patient recovered well. |
| format | Article |
| id | doaj-art-666847769031416680034013427b1c8f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-666847769031416680034013427b1c8f2025-02-03T01:02:10ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/53243205324320A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed TomographyAlyssa Goldbach0Partha Hota1Andrew Czulewicz2Christine Burgert-Lon3Omar Agosto4Division of Abdominal Imaging, Department of Radiology, Temple University Hospital, Philadelphia, PA, USADivision of Abdominal Imaging, Department of Radiology, Temple University Hospital, Philadelphia, PA, USADepartment of Pathology, Jeanes Hospital, Temple University Health System, Philadelphia, PA, USADepartment of Pathology, Jeanes Hospital, Temple University Health System, Philadelphia, PA, USADivision of Abdominal Imaging, Department of Radiology, Temple University Hospital, Philadelphia, PA, USAThe de Garengeot hernia is an uncommon and potentially confounding pathologic process in which the appendix is contained within a femoral hernia. While typically a benign incidental finding, superimposed acute appendicitis is a rare but serious complication. Identification of this entity is crucial to patient management and ultimately outcome with imaging playing a critical role. Cross-sectional imaging, with either CT or MRI, should be performed in all cases of suspected incarcerated de Garengeot hernia to facilitate the appropriate diagnosis and surgical intervention. Herein, we present the fifth case of a prospective CT diagnosis of the de Garengeot hernia in a 61-year-old female who presented with an irreducible right femoral hernia. The patient underwent CT examination which demonstrated the appendix within the femoral hernia sac with an associated periappendiceal fluid collection. The patient was taken for emergent surgical intervention at which time the appendix was found within the hernia sac. The appendix was removed, the defect repaired, and ultimately the patient recovered well.http://dx.doi.org/10.1155/2018/5324320 |
| spellingShingle | Alyssa Goldbach Partha Hota Andrew Czulewicz Christine Burgert-Lon Omar Agosto A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography Case Reports in Surgery |
| title | A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography |
| title_full | A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography |
| title_fullStr | A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography |
| title_full_unstemmed | A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography |
| title_short | A Rare Case of Chronic Appendicitis Superimposed on an Incarcerated de Garengeot Hernia Prospectively Identified on Computed Tomography |
| title_sort | rare case of chronic appendicitis superimposed on an incarcerated de garengeot hernia prospectively identified on computed tomography |
| url | http://dx.doi.org/10.1155/2018/5324320 |
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