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De Garengeot Hernia with Acute Gangrenous Appendicitis Case Report

Year: 2025

Type: article

Abstract: INTRODUCTION: A De Garengeot hernia is defined as a femoral hernia that contains the vermiform appendix. While femoral hernias carrying the appendix are uncommon, strangulation of the appendix in the hernial sac with concurrent acute appendicitis is an extremely rare and life-threatening condition often presenting with an atypical clinical picture. CASE REPORT: A 51-year-old man presented to the emergency department with two weeks of persistent right inguinal pain after heavy lifting. Imaging revealed suspicion for an Amyand hernia, an inguinal hernia containing a portion of the appendix. However, intraoperative findings revealed a strangulated De Garengeot hernia with gangrenous appendicitis. CONCLUSION: De Garengeot hernias are femoral hernias containing the appendix. They are diagnostically challenging and require urgent surgical evaluation and intervention given high risk for strangulation.

Source: Clinical Practice and Cases in Emergency Medicine

DOI: 10.5811/cpcem.35386

Authors: Leon Quach, Alexsandra Biel, Brett R Todd

Institutions: Beaumont Hospital, Royal Oak, Corewell Health William Beaumont University Hospital, Oakland University

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $500