Surgery
Published October 21, 2025 | Version v1
Journal article Open

De Garengeot's hernia – a rare clinical case and literature review

Authors/Creators

  • 1. ROR icon Military Medical Academy

Description

De Garengeot’s hernia represents an extremely rare form of femoral hernia with incarceration of the appendix within the hernial sac. The clinical presentation is nonspecific, which accounts for the high rate of intraoperative diagnosis. We present a 74-year-old female patient with a painful, irreducible mass in the right inguino-femoral region and signs of peritoneal irritation. Intraoperatively, a gangrenous appendix with perforation and fibrinopurulent peritonitis was found. Appendectomy and McVay repair were performed. De Garengeot’s hernia requires early recognition and appropriate surgical management.

Abstract (English)

Хернията на De Garengeot представлява изключително рядка форма на феморална херния с инкарцерация на апендикс в херниалния сак. Клиничната симптоматика е неспецифична, което обуславя висок процент интраоперативни диагнози. Представяме пациентка на 74 години с болезнена нерепонируема формация в дясна ингвино-феморална област и данни за перитонеално дразнене. Интраоперативно се установи гангренозно изменен апендикс с перфорация и фибринозно-гноен перитонит. Извършени бяха апендектомия и пластика по McVay. Хернията на De Garengeot изисква ранно разпознаване и адекватна хирургична тактика.

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Additional details

Additional titles

Translated title (Bulgarian)
Херния на De Garengeot – рядък клиничен случай и обзор на литературата

Identifiers

ISSN
3033-151X
URL
https://bgss.eu/index.php/surgery/article/view/64

Dates

Issued
2025-10-21

References

  • 1. Månsson C, Linder S, Linder G. Treatment of De Garengeot's hernia: a meta-analysis. Hernia. 2019;23(1):131–141. doi:10.1007/s10029-018-1862-5
  • 2. Guenther TM, Theodorou CM, Grace NL, Rinderknecht TN, Wiedeman JE. De Garengeot hernia: a systematic review. Surg Endosc. 2021;35(2):503–513. doi:10.1007/s00464-020-07934-5
  • 3. Yan L, Zhang Y. Unusual case of De Garengeot hernia: femoral hernia containing purulent appendicitis in a 69-year-old man. J Int Med Res. 2021;49(7):1–6. doi:10.1177/03000605211028409
  • 4. Recuenco CB, García JGQ, Martín MC, Martínez L, et al. De Garengeot's hernia: case report and literature review. Int J Surg Case Rep. 2019;64:58–61. doi:10.1016/j.ijscr.2019.09.019
  • 5. Charlotte T, et al. De Garengeot's hernia: case report. Int J Case Rep Images. 2014;5(12):812–815. [https://www.ijcasereportsandimages.com/archive/2014/012-2014-ijcri/CR-10456-12-2014-charlotte/]
  • 6. Mushtaq B, Galantini G, Ottaway J, Khalid U, Myers R, Perrotti G, et al. Combined use of laparoscopy and an open inguinal approach for repair of a De Garengeot hernia. Front Med (Lausanne). 2024;12:1643775. doi:10.3389/fmed.2025.1643775