{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:36:19Z","timestamp":1768455379535,"version":"3.49.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"content-version":"vor","delay-in-days":259,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>De Garengeot\u2019s hernia is rare and describes a femoral hernia containing the vermiform appendix. Pre-operative diagnosis is at times difficult and operative intervention can prove challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We report a case of a 75-year-old woman with a swelling to the right groin for over 10 years which increased in size and became intermittently painful over a period of two weeks. Patient stated that an earlier consult was not sought as she had concerns about having to stay in hospital with the ongoing global pandemic and her significant cardiac history. Ultrasound and contrast enhanced Computed Tomography (CT) revealed typical radiological features of an inflamed appendix herniating through the femoral canal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Due to its rarity a preoperative diagnosis of a de Garengeot hernia may be difficult. There is currently no consensus to surgical approach in this setting, management is widely varied and based on the preference and expertise available during these emergency procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The de Garengeot hernia though uncommon should be recognised as a differential when faced with an incarcerated femoral hernia. To the best of our knowledge, this is the first case that combines ultrasound, CT findings and a preperitoneal surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.102","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T13:28:25Z","timestamp":1600694905000},"page":"107-110","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Symptomatic lump during lockdown \u2013 A case of de Garengeot\u2019s hernia"],"prefix":"10.1097","volume":"76","author":[{"given":"Jamaall","family":"Jackman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayar Ghazal","family":"Aswad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abeed","family":"Chowdhury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-26-20260114","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\u2019s hernia","volume":"13","author":"Rajan","year":"2009","journal-title":"Hernia"},{"key":"R3-26-20260114","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.ijscr.2011.12.003","article-title":"Clinical significance of de Garengeot\u2019s hernia: a case of acute appendicitis and review of the literature","volume":"3","author":"Piperos","year":"2012","journal-title":"Int. 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Travma Acil Cerrahi Derg"},{"key":"R9-26-20260114","first-page":"455","article-title":"de Garengeot hernia","volume":"13","author":"Thomas","year":"2009","journal-title":"JSLS"},{"key":"R10-26-20260114","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s10029-018-1862-5","article-title":"Treatment of de Garengeot\u2019s hernia: a meta-analysis","volume":"23","author":"Linder","year":"2019","journal-title":"Hernia"},{"key":"R11-26-20260114","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.ijscr.2015.10.020","article-title":"Incidental de Garengeot\u2019s hernia: a case report of dual pathology to remember","volume":"17","author":"Whitehead-Clarke","year":"2015","journal-title":"Int. J. Surg. Case Rep"},{"key":"R12-26-20260114","first-page":"1","article-title":"The rare case of De Garengeot hernia: femoral hernia containing perforated appendicitis","volume":"11","author":"Ying","year":"2019","journal-title":"J. Surg. Case Rep"},{"key":"R13-26-20260114","first-page":"600","article-title":"Perforated appendix in the incarcerated femoral hernia. A place for preperitoneal repair","volume":"88","author":"Rose","year":"1988","journal-title":"N. Y. State J. Med"},{"key":"R14-26-20260114","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ijscr.2015.09.021","article-title":"A case of de Garengeot hernia: the feasibility of laparoscopic transabdominal preperitoneal hernia repair","volume":"16","author":"Al-Subaie","year":"2015","journal-title":"Int. J. Surg. Case Rep"},{"key":"R15-26-20260114","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1080\/00015458.2013.11680967","article-title":"Laparoscopic appendectomy combined with TEP for de Garengeot hernia: case report","volume":"113","author":"Beysens","year":"2013","journal-title":"Acta Chir. 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