{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T07:52:28Z","timestamp":1773215548864,"version":"3.50.1"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"vor","delay-in-days":0,"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":[[2022,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Indirect inguinal hernia is one of the most common congenital anomaly common in males, but not uncommon in females. In females, inguinal hernia mostly indirect, containing ovary presenting as a palpable labial mass is common, resulting in strangulation, torsion, and infertility if left untreated.<\/jats:p>\n <\/jats:sec>\n \n Importance:<\/jats:title>\n The bell clapper deformity (BCD) is an important anatomical risk factor for intra vaginal testicular torsion, its presence in females is hardly been speculated.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n A 6 months female baby presenting with tender labial mass, its management has been discussed here.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion:<\/jats:title>\n The bell clapper deformity, in which the tunica vaginalis inserts high on the spermatic cord, leaving the testis free to rotate and get torted, however its presence in females has never been explored.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Bell clapper deformity's existence in females yet to be speculated before exploration.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.106879","type":"journal-article","created":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T16:57:10Z","timestamp":1645808230000},"page":"106879","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Bell clapper deformity in female?"],"prefix":"10.1097","volume":"92","author":[{"given":"Jayalaxmi Shripati","family":"Aihole","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-61-20260310","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12301-020-00037-6","article-title":"The demographic profile and the management of infantile inguinal hernia: a 3-year's review","volume":"26","author":"Aihole","year":"2020","journal-title":"Afr. J. Urol"},{"key":"R2-61-20260310","doi-asserted-by":"crossref","first-page":"267","DOI":"10.5348\/ijcri-201504-CS-10055","article-title":"Acute scrotum: a rare presentation","volume":"6","author":"Aihole","year":"2015","journal-title":"Int. J. Case Rep. Images"},{"key":"R3-61-20260310","first-page":"369","article-title":"Acute abdomen caused by torsion of an undescended testis: a rare presentation and its diagnostic dilemma","volume":"4","author":"Aihole","year":"2017","journal-title":"Paediatr. Urol. Case Rep"},{"key":"R4-61-20260310","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/0022-3468(91)90668-J","article-title":"The irreducible ovary: a true emergency","volume":"26","author":"Boley","year":"1991","journal-title":"J. Pediatr. Surg"},{"key":"R5-61-20260310","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.2214\/ajr.180.4.1801176","article-title":"deformity B-clapper. Bell-Clapper Deformity","volume":"180","author":"Dogra","year":"2003","journal-title":"AJR Am. J. Roentgenol"},{"key":"R6-61-20260310","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 Guideline: Updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222001250?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222001250?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T10:01:36Z","timestamp":1773136896000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":6,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.106879","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}