Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports

Abstract Background Emergency appendectomy is often performed for de Garengeot hernia. However, in some cases, there may be a chance to perform an appendix-preserving elective surgery. Case description A 76-year-old woman presented to our hospital with complaints of a right inguinal swelling, which...

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Autores principales:	Hiromitsu Imataki, Hideo Miyake, Hidemasa Nagai, Yuichiro Yoshioka, Koji Shibata, Yuichi Kambara, Norihiro Yuasa
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	De Garengeot hernia Ultrasonography Appendicitis Elective surgery Surgery RD1-811
Acceso en línea:	https://doaj.org/article/fb0a16cc56db4493b20225984cf42e61
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spelling	oai:doaj.org-article:fb0a16cc56db4493b20225984cf42e612021-11-28T12:29:08ZAppendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports10.1186/s40792-021-01329-x2198-7793https://doaj.org/article/fb0a16cc56db4493b20225984cf42e612021-11-01T00:00:00Zhttps://doi.org/10.1186/s40792-021-01329-xhttps://doaj.org/toc/2198-7793Abstract Background Emergency appendectomy is often performed for de Garengeot hernia. However, in some cases, there may be a chance to perform an appendix-preserving elective surgery. Case description A 76-year-old woman presented to our hospital with complaints of a right inguinal swelling, which we diagnosed as a de Garengeot hernia using computed tomography (CT). B-mode ultrasonography (US) of the mass showed an appendix 4–6 mm in diameter with a clear wall structure; color Doppler US showed pulsatile blood flow signal in the appendiceal wall. Twenty-eight days later, herniorrhaphy with transabdominal preperitoneal repair (TAPP) was performed without appendectomy. Another 70-year-old woman presented to our hospital with complaints of a painful bulge in the right inguinal region. The diagnosis of de Garengeot hernia was made using CT. B-mode US showed an appendix 5 mm in diameter with a clear wall structure. Color Doppler US showed a pulsatile blood signal in the appendiceal wall. Seven days later, herniorrhaphy with TAPP was performed without appendectomy. Conclusion De Garengeot hernia is often associated with appendicitis; however, an appendix-preserving elective herniorrhaphy can be performed if US and intraoperative findings do not suggest appendicitis or circulatory compromise in the appendix.Hiromitsu ImatakiHideo MiyakeHidemasa NagaiYuichiro YoshiokaKoji ShibataYuichi KambaraNorihiro YuasaSpringerOpenarticleDe Garengeot herniaUltrasonographyAppendicitisElective surgerySurgeryRD1-811ENSurgical Case Reports, Vol 7, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	De Garengeot hernia Ultrasonography Appendicitis Elective surgery Surgery RD1-811
spellingShingle	De Garengeot hernia Ultrasonography Appendicitis Elective surgery Surgery RD1-811 Hiromitsu Imataki Hideo Miyake Hidemasa Nagai Yuichiro Yoshioka Koji Shibata Yuichi Kambara Norihiro Yuasa Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports
description	Abstract Background Emergency appendectomy is often performed for de Garengeot hernia. However, in some cases, there may be a chance to perform an appendix-preserving elective surgery. Case description A 76-year-old woman presented to our hospital with complaints of a right inguinal swelling, which we diagnosed as a de Garengeot hernia using computed tomography (CT). B-mode ultrasonography (US) of the mass showed an appendix 4–6 mm in diameter with a clear wall structure; color Doppler US showed pulsatile blood flow signal in the appendiceal wall. Twenty-eight days later, herniorrhaphy with transabdominal preperitoneal repair (TAPP) was performed without appendectomy. Another 70-year-old woman presented to our hospital with complaints of a painful bulge in the right inguinal region. The diagnosis of de Garengeot hernia was made using CT. B-mode US showed an appendix 5 mm in diameter with a clear wall structure. Color Doppler US showed a pulsatile blood signal in the appendiceal wall. Seven days later, herniorrhaphy with TAPP was performed without appendectomy. Conclusion De Garengeot hernia is often associated with appendicitis; however, an appendix-preserving elective herniorrhaphy can be performed if US and intraoperative findings do not suggest appendicitis or circulatory compromise in the appendix.
format	article
author	Hiromitsu Imataki Hideo Miyake Hidemasa Nagai Yuichiro Yoshioka Koji Shibata Yuichi Kambara Norihiro Yuasa
author_facet	Hiromitsu Imataki Hideo Miyake Hidemasa Nagai Yuichiro Yoshioka Koji Shibata Yuichi Kambara Norihiro Yuasa
author_sort	Hiromitsu Imataki
title	Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports
title_short	Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports
title_full	Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports
title_fullStr	Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports
title_full_unstemmed	Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports
title_sort	appendix-preserving elective herniorrhaphy for de garengeot hernia: two case reports
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/fb0a16cc56db4493b20225984cf42e61
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Appendix-preserving elective herniorrhaphy for de Garengeot hernia: two case reports

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