Case Report
 
De Garengeot’s hernia: A modified Nyhus tissue-based procedure to approach a rare case of de Garengeot hernia, with a crystal-clear diagnosis on preoperative imaging
Ariane Lacaille-Ranger1, Olina Dagher1, Lucas Sidéris1, Michel Morin1
1Department of Surgery, Hôpital Maisonneuve-Rosemont, University of Montreal, Montreal, Canada

Article ID: 100055Z12AL2018
doi: 10.5348/100055Z12AL2018CR

Corresponding Author:
Michel Morin, MD
FRCSC, Department of Surgery
Hôpital Maisonneuve-Rosemont
5415 boul. De L’Assomption
Montréal, Qc, Canada, H1T 2M4

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How to cite this article
Lacaille-Ranger A, Dagher O, Sidéris L, Morin M. De Garengeot’s hernia: A modified Nyhus tissue-based procedure to approach a rare case of de Garengeot hernia, with a crystal-clear diagnosis on preoperative imaging. J Case Rep Images Surg 2018;4:100055Z12AL2018.


ABSTRACT

Introduction: The presence of the appendix within a femoral hernia, a condition named De Garengeot hernia, is an unusual finding often discovered incidentally during surgery. Patients usually present with a clinical picture undistinguishable from that of an incarcerated groin hernia and few cases have been clearly observed on imaging studies.

Case Report: This paper present the case of a De Garengeot hernia diagnosed on a preoperative CT-scan and repaired using a modified Nyhus tissue-based procedure.

Conclusion: Clinical experience mainly arises from management decisions taken intra-operatively, and no standard recommendations have yet been formulated. This article further discusses surgical dilemmas in managing this rare entity.

Keywords: De Garengeot hernia, Femoral hernia, Nyhus procedure, Surgical approach


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Author Contributions
Ariane Lacaille-Ranger – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Olina Dagher – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Lucas Sidéris – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Michel Morin – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Ariane Lacaille-Ranger et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.