@article {12396,
	title = {De Garengeot{\textquoteright}s hernia: a comprehensive review.},
	journal = {Hernia},
	volume = {17},
	year = {2013},
	month = {2013 Apr},
	pages = {177-82},
	abstract = {PURPOSE: Acute appendicitis within a femoral hernia is a rare condition that was first described by Rene Jacques de Garengeot. In the present study, we summarize the existing evidence on de Garengeot{\textquoteright}s hernia, with special emphasis on its clinical presentation and diagnostic approach.

METHODS: A thorough search of the English-language literature published between 1980 and 2011 was performed. Studies reporting cases of de Garengeot{\textquoteright}s hernia were selected using specific inclusion criteria (description of femoral hernia appendicitis, statement of patient demographics and symptoms, and statement of diagnostic tests performed).

RESULTS: Thirty-one studies that encompassed 36 patients (28 women, mean age 71.5~years) with de Garengeot{\textquoteright}s hernia were included in our analysis. Patients presented with a right groin mass in 35 (97~\%) cases. The mass was almost always painful (n~=~35, 97~\%), while 14 (39~\%) of the patients were febrile. Mean duration of symptoms was 5.17~days. Fifty-six percent of the groin masses were erythematous. Leukocytosis was present in 67~\% of the patients, and 25 patients underwent imaging investigation with X-ray (n~=~11), Ultrasound (n~=~5) or Computed Tomography (CT, n~=~9). Twenty percent of the Ultrasound and 44~\% of the CT studies were diagnostic, leading to an overall rate of 14~\% of femoral hernia appendicitis preoperative diagnosis. Eighty-one percent of the patients underwent herniorrhaphy with sutures while a mesh was used in 19~\%. Mean hospital stay was 6.23~days.

CONCLUSION: Preoperative diagnosis of de Garengeot{\textquoteright}s hernia is difficult due to its atypical clinical presentation. Further surgical treatment depends on the surgeon{\textquoteright}s sound clinical judgment.},
	keywords = {Aged, Appendicitis, Female, Hernia, Femoral, Humans, Male, Tomography, X-Ray Computed},
	issn = {1248-9204},
	doi = {10.1007/s10029-012-0993-3},
	author = {Kalles, V and Mekras, A and Mekras, D and Papapanagiotou, I and Al-Harethee, W and Sotiropoulos, G. and Liakou, P. and Kastania, A and Piperos, T and Mariolis-Sapsakos, T}
}
