• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / De Garengeot’s Hernia: A Report of Two Cases, Analysis of 177 Published Cases, and Proposed Classification System

De Garengeot’s Hernia: A Report of Two Cases, Analysis of 177 Published Cases, and Proposed Classification System

Timothy M Guenther, MD1, Jim Becker, MD2, Nalani Grace, MD3, James Wiedeman, MD3. 1David Grant Medical Center, Travis AFB/UC Davis, 2UC Davis, 3Sacramento VA Medical Center – VA Northern California Health Care System

Introduction: A De Garengeot’s hernia is a femoral hernia that contains the appendix. This rare type of hernia was first described by René-Jacques De Garengeot in 1731. Numerous case reports have been published since then, yet the last extensive review of the literature was published in 1925. We present two cases of a De Garengeot’s hernia and provide a comprehensive literature review of other published cases since 1925. A classification system based on the gross appearance of the appendix and related structures is also proposed.

Methods: A literature review was undertaken using PubMed, Google-Scholar, and our institutional library database for case reports of a femoral hernia containing the appendix. In addition, basic demographic information of the patient (age/gender), presenting symptoms and/or physical exam findings, and a gross description of the appearance of the appendix and related structures within the femoral hernia was required for inclusion. Additional information from each case reports that met eligibility was gathered and all data were tabulated in Microsoft Excel. A classification system was created based on the gross appearance of the appendix and any other involved structures within the femoral hernia, and each case report was categorized using this classification system. Categorical data were analyzed with a χ2 test and numeric data with a student t test to determine significance. The literature search and data analysis took place between 2/2018-5/2018.

Results: A total of 177 cases were identified in 155 articles. Cases were most commonly performed in Europe, but case reports were published globally. Most cases occurred in females (79.7%) and the most common presenting symptom was pain and a bulge located in the groin (81.4% and 85.9% respectively). In 94.3% of cases, a groin bulge was observed on physical exam and erythema over the hernia was present 33.3% of the time. A pre-operative diagnosis was established in 23.7% of cases and the most common approach for repair was through a groin incision. 11.3% of cases were associated with a complication, a surgical site infection being the most common. Based on our classification system, the most common stage was stage 2A, corresponding to a congested/inflamed appendix, which was found in 42.4% of cases.

Conclusions: De Garengeot’s hernias are a rare and clinically heterogeneous type of hernia as highlighted by our proposed classification system. Acute care surgeons should be aware of this type of hernia for the interesting set of diagnostic/management challenges this condition presents.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 92163

Program Number: MSS14

Presentation Session: Full-Day Military Surgical Symposium – General Surgery Presentations

Presentation Type: MSSPodium

81

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals