title: Garengeot's hernia: two case reports with CT diagnosis and literature review.
abstract: Garengeot's hernia (GH) is defined as the presence of the appendix inside a femoral hernia. It occurs in 0.9% of femoral hernias and is usually an incidental finding during surgery. Its treatment is controversial and the aim of this article is to review the diagnostic methods and surgical considerations. We report two cases diagnosed preoperatively by contrast-enhanced computed tomography (CT) and discuss the treatment options based on a review of the literature published in PubMed updated on 1 December, 2015. Fifty articles reporting 64 patients (50 women, mean age 70 years) with GH were included in the analysis. Diagnosis was performed by preoperative CT in only 24 cases, including our two. The treatment of GH is emergency surgery. Several options are available laparoscopic or open approach: insertion of a mesh or simple herniorrhaphy, with or without appendectomy.
  
  
  CONCLUSIONS
  The preoperative diagnosis with CT can guide the choice of treatment. Appendectomy and hernioplasty should be performed via inguinotomy, if there is no perforation or abscess formation.
authors.affiliation: C/Donantes de Sangre s/n, Guadalajara 19002, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Garcia-Amador
authors.affiliation: Department of Surgery, Hospital Universitario de Guadalajara, C/Donantes de Sangre s/n, Guadalajara 19002, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: De la Plaza
authors.affiliation: Department of Surgery, Hospital Universitario de Guadalajara, C/Donantes de Sangre s/n, Guadalajara 19002, Spain.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Arteaga
authors.affiliation: Department of Surgery, Hospital Universitario de Guadalajara, C/Donantes de Sangre s/n, Guadalajara 19002, Spain.
authors.forename: Aylhin
authors.initials: A
authors.lastname: Lopez-Marcano
authors.affiliation: Department of Surgery, Hospital Universitario de Guadalajara, C/Donantes de Sangre s/n, Guadalajara 19002, Spain.
authors.forename: Jose
authors.initials: J
authors.lastname: Ramia
keywords: Amyand’s hernia; Appendicitis; Appendix; Garengeot’s hernia; Hernia, femoral; Hernia, inguinal