Incarcerated De Garengeot’s hernia complicated by gangrenous appendicitis

Authors: D. Štruncová 1;  J. Meduna 1;  A. Kostihová 2;  J. Neubauer 2
Authors‘ workplace: Chirurgické oddělení Nemocnice Jihlava, primář: MUDr. J. Meduna 1;  Oddělení zobrazovacích metod Nemocnice Jihlava, primář: MUDr. J. Neubauer 2
Published in: Rozhl. Chir., 2013, roč. 92, č. 6, s. 330-332.
Category: Case Report


Femoral hernias account for only about 0.7% of all operated hernias and are rather infrequent among male patients. By contrast, acute appendicitis is one of the most frequent diagnoses in surgery requiring urgent operation.

The authors present one of the rare cases in which both these diagnoses occur together – De Garengeot’s hernia.

Incarcerated femoral hernia with acute appendicitis is diagnosed preoperatively only sporadically. Imaging methods can help in the diagnosis, but often the final diagnosis, and especially the final solution, is brought about only by surgical intervention.

Key words:
De Garengeot’s hernia – gangrenous appendicitis – femoral hernia


1. Národní registr hospitalizovaných. ÚZIS ČR 2012

2. HES online UK, 2012; dostupný z WWW:

3. Sharma H, Jha PK, Shekhawat NS, Memon B, Memon MA. De Garengeot hernia: an analysis of our experience. Hernia 2007; 11:235–238.

4. Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia 2005;20:1–4.

5. Akopian G, Alexander M. De Garengeot hernia: appendicitis within a femoral hernia. Am Surg 2005;71,6:526–7.

6. Hrivnak R, Hanke I, Penka I, Kala Z. Amyandova hernie – vzácná náhlá příhoda břišní. Rozhl Chir 2011;90,9:523–526.

7. Grgić T, Šuvak I. De Garengeot hernia – case report. Acta Chirurg 2011;8:17–19.

8. Nguyen ET, Komenaka IK. Strangulated femoral hernia containing a perforated appendix. Can J Surg 2004;47,1:68–69.

9. Piperos T, Kalles V, Al Ahwal Y, Konstantinou E, Skarpas G, Mariolis-Sapsakos T. Clinical significance of de Garengeotęs hernia: A case of acute appendicitis and review of the literature. Int J Surg Case Rep 2012; 3,3: 116–117

10. Zissin R, Brautbar O, Shapiro – Feinberg M. CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol 2000;73:1013–1014.

11. Patrikakos P, Velimezis G, Kapogiannatos G, Georgiou J, Perrakis E, Patrikakos V, Perrakis A. Vermiform appendix inside a hernia: Our experience. Internet Journal of Surgery 2011;26,2.

12. Filatov J,Ilibitzki A, Davidovitch S, Soudack M. Appendicitis within a femoral hernia: sonographic appearance. J Ultrasound Med 2006;25:1233–1235.

13. DęAmbrosio N, Katz D, Hines J. Perforated appendix within a femoral hernia. AJR Am J Roentgenol. 2006;186:906–907.

14. Comman A, Gaetschmann P, Hanner T, Behrend M. DeGarengeot hernia: Transabdominal preperitoneal hernia repair an appendectomy. JSLS 2007;11:496–501.

15. Thomas B, Thomas M, McVay B, Chivate J. De Garengeot hernia. JSLS 2009;13,3:455–457.

Surgery Orthopaedics Trauma surgery
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account