{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:38:23Z","timestamp":1773923903240,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,8,5]],"date-time":"2014-08-05T00:00:00Z","timestamp":1407196800000},"content-version":"vor","delay-in-days":216,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION:<\/jats:title>\n De Garengeot hernia is a rare occurrence whereby an appendix is found in a femoral hernia sac. It is rarer still to find an acutely inflamed appendix manifesting itself as a strangulated femoral hernia. This case is important to report as it highlights the diagnostic difficulty this particular condition presents to an emergency surgeon.<\/jats:p>\n <\/jats:sec>\n \n PRESENTATION OF CASE:<\/jats:title>\n We report the case of an 86 year old female who was found to have a De Garengeot hernia containing a necrotic appendix. A retrograde appendicectomy was performed to prevent peritoneal contamination. The hernia defect was repaired using a standard repair with non-absorbable suture.<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION:<\/jats:title>\n De Garengeot's hernia is a rare occurrence, is often unexpected and tends to be diagnosed intra-operatively. Pre-operative diagnosis remains difficult and it will often masquerade as a strangulated femoral hernia. In stable patients, where there is a diagnostic uncertainty CT scanning is a useful adjunct and may allow a laparoscopic approach to be undertaken in the absence of appendicitis.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n A De Garengeot's hernia should be considered as a differential diagnosis in patients presenting with clinical signs of a strangulated femoral hernia. It is often an incidental finding during an emergency operation. Although mesh repairs in the presence of appendicitis have been reported, the safest approach remains a primary suture repair.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.08.001","type":"journal-article","created":{"date-parts":[[2014,8,7]],"date-time":"2014-08-07T20:31:45Z","timestamp":1407443505000},"page":"656-658","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":25,"title":["A De Garengeot Hernia masquerading as a strangulated femoral hernia"],"prefix":"10.1097","volume":"5","author":[{"given":"A.","family":"Hussain","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.A.P.","family":"Slesser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Monib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Maalo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Soskin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Arbuckle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-4-20260114","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1177\/000313480507100617","article-title":"Garengeot hernia: appendicitis within a femoral hernia","volume":"71","author":"Akopian","year":"2005","journal-title":"Am Surg"},{"key":"R2-4-20260114","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/00000658-197401000-00005","article-title":"Ruptured appendicitis in femoral hernias: report of two cases and review of the literature","volume":"179","author":"Voitk","year":"1974","journal-title":"Ann Surg"},{"key":"R3-4-20260114","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s10029-009-0472-7","article-title":"Inflamed appendix in a femoral hernial sac: de Garengeot's hernia","volume":"13","author":"Rajan","year":"2009","journal-title":"Hernia"},{"key":"R4-4-20260114","first-page":"68","article-title":"Strangulated femoral hernia containing a perforated appendix","volume":"47","author":"Nguyen","year":"2004","journal-title":"Can J Surg"},{"key":"R5-4-20260114","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1259\/bjr.73.873.11064659","article-title":"CT diagnosis of acute appendicitis in a femoral hernia sac","volume":"73","author":"Zissin","year":"2000","journal-title":"Br J Radiol"},{"key":"R6-4-20260114","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s10029-004-0209-6","article-title":"Appendicitis in incarcerated femoral hernia","volume":"8","author":"Barbaros","year":"2004","journal-title":"Hernia"},{"key":"R7-4-20260114","doi-asserted-by":"crossref","first-page":"906","DOI":"10.2214\/AJR.05.0080","article-title":"Perforated appendix within a femoral hernia","volume":"186","author":"D'Ambrosio","year":"2006","journal-title":"AJR"},{"key":"R9-4-20260114","first-page":"35","article-title":"Incarcerated appendix in a femoral hernia sac","volume":"59","author":"Cordera","year":"2009","journal-title":"Comtemp Surg"},{"key":"R10-4-20260114","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s10029-012-0993-3","article-title":"De Garengeot's hernia: a comprehensive review","volume":"17","author":"Kalles","year":"2013","journal-title":"Hernia"},{"key":"R11-4-20260114","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.7863\/jum.2006.25.9.1233","article-title":"Appendicitis within a femoral hernia: sonographic appearance","volume":"25","author":"Filatov","year":"2006","journal-title":"J Ultrasound Med"},{"key":"R13-4-20260114","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s10029-007-0208-5","article-title":"De Garengeot hernia: an analysis of our experience","volume":"11","author":"Sharma","year":"2007","journal-title":"Hernia"},{"key":"R14-4-20260114","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1159\/000250821","article-title":"Acute appendicitis in an incarcerated femoral hernia: a case of De Garengeot hernia","volume":"3","author":"Ebisawa","year":"2009","journal-title":"Case Rep Gastroenterol"}],"container-title":["International Journal of Surgery Case 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