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Hernia de Garengeot: presentación de un caso y revisión de la literatura / De Garengeot hernia: a case report and literature review
Lagos Diaz, Valery; Diaz Peña, Javiera; Lagos Diaz, Arletthe; Villagra Casanova, Francisco; Varela, Carlos.
Afiliação
  • Lagos Diaz, Valery; Universidad Católica del Norte. Facultad de Medicina. Coquimbo. CL
  • Diaz Peña, Javiera; Universidad Católica del Norte. Facultad de Medicina. Coquimbo. CL
  • Lagos Diaz, Arletthe; Hospital Regional de Talca. Servicio y Departamento de Cirugía. Talca. CL
  • Villagra Casanova, Francisco; Hospital Regional de Talca. Servicio y Departamento de Cirugía. Talca. CL
  • Varela, Carlos; Hospital Regional de Talca. Servicio y Departamento de Cirugía. Talca. CL
Rev. méd. Maule ; 34(2): 41-45, dic. 2019. ilus
Article em Es | LILACS | ID: biblio-1371263
Biblioteca responsável: CL1.1
ABSTRACT

INTRODUCTION:

Femoral hernias have a high risk of strangulation or obstruction, and their acute presentations are associated with a high risk of mortality, occurring in up to 60% of cases with complications. The presence of the appendix within the femoral sac has been described in a maximum of 1% of cases, which has been called Garengeot hernia, but only 0.08% with concomitant appendicitis. CASE REPORT Woman 56 years old, cholecystectomized, with no other relevant history, 5 months of evolution, right femoral region volume increase, consultation for 24 hours of evolution of habitual pain exacerbation, CT scan showing complicated hernia, with appendix inside of the hernial sac. The right inguinal approach is performed, the cecal appendix is the only content within the hernial sac, with signs of acute appendicitis, appendectomy and hernia repair with Prolene mesh. Diagnosis is confirmed with biopsy. DISCUSSION AND

CONCLUSION:

Acute appendicitis within De Garengeot's hernia is extremely rare and often difficult to diagnose. The diagnosis of a femoral hernia appendicitis is often obscured by nonspecific clinical findings that indicate a complicated hernia. Computed tomography may be useful to definitively diagnose acute appendicitis contained within a femoral hernia. It is important to always consider De Garengeot hernia as a differential diagnosis in patients with inguinal mass of acute pain, so as not to delay its detection and management.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Apêndice / Hérnia Femoral Tipo de estudo: Diagnostic_studies Limite: Female / Humans Idioma: Es Revista: Rev. méd. Maule Assunto da revista: MEDICINA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Apêndice / Hérnia Femoral Tipo de estudo: Diagnostic_studies Limite: Female / Humans Idioma: Es Revista: Rev. méd. Maule Assunto da revista: MEDICINA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile