{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:26:16Z","timestamp":1787009176465,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T00:00:00Z","timestamp":1572998400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Femoral hernias account for ~4% of all groin hernias but are much more common in females, especially those over the age of 70. Risk of incarceration is overall low but can include structures such as bowel, omentum, bladder, ovary and very rarely, the appendix. The subset of femoral hernias containing the vermiform appendix is known as de Garengeot hernias. We describe a rare case of an 87-year-old female patient who presented with an incarcerated right femoral hernia confirmed on contrast-enhanced computed tomography scan of the abdomen and pelvis, with subsequent open hernia reduction revealing a perforated necrotic appendix with pus contained in the hernia sac. Histopathology revealed acute appendicitis with increased stromal fibrosis suggestive of a chronic process. Pre-operative diagnosis of de Garengeot hernias remains challenging due to their non-specific presentation and attenuated clinical symptoms, and most diagnoses are made intraoperatively.<\/jats:p>","DOI":"10.1093\/jscr\/rjz287","type":"journal-article","created":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T07:44:09Z","timestamp":1567151049000},"source":"Crossref","is-referenced-by-count":9,"title":["The rare case of De Garengeot hernia: femoral hernia containing perforated appendicitis"],"prefix":"10.1093","volume":"2019","author":[{"given":"Lei","family":"Ying","sequence":"first","affiliation":[{"name":"Department of General Surgery, Western Health, St Albans, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong-Moh John","family":"Yahng","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Western Health, St Albans, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,11,6]]},"reference":[{"key":"2019110602061689200_ref1","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1177\/003591576305601226","article-title":"Strangulated femoral hernia appendix with perforated sigmoid diverticulitis","volume":"56","author":"Tanner","year":"1963","journal-title":"Proc Royal Soc Med."},{"key":"2019110602061689200_ref2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.ijscr.2014.12.042","article-title":"De Garengeot hernia: case report and review","volume":"8C","author":"Talini","year":"2015","journal-title":"Int Jsurg Case Rep."},{"key":"2019110602061689200_ref3","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 J Surg Case Rep."},{"key":"2019110602061689200_ref4","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s10029-012-0993-3","article-title":"De Garengeot\u2019s hernia: a comprehensive review","volume":"17","author":"Kalles","year":"2013","journal-title":"Hernia."},{"key":"2019110602061689200_ref5","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1259\/bjr.73.873.11064659","article-title":"Shapiro-Feinberg M. CT diagnosis of acute appendicitis in a femoral hernia sac","volume":"73","author":"Zissin","year":"2000","journal-title":"Br J Radiol."},{"key":"2019110602061689200_ref6","first-page":"68","article-title":"Strangulated femoral hernia containing a perforated appendix","volume":"47","author":"Nguyen","year":"2004","journal-title":"Can J Surg."},{"key":"2019110602061689200_ref7","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.ijscr.2014.08.001","article-title":"A De Garengeot hernia masquerading as a strangulated femoral hernia","volume":"5","author":"Hussain","year":"2014","journal-title":"Int J Surg Case Rep."},{"key":"2019110602061689200_ref8","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":"2019110602061689200_ref9","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1259\/bjr\/27759683","article-title":"The MRI findings of a de Garengeot hernia","volume":"85","author":"Halpenny","year":"2012","journal-title":"Br J Radiol."},{"key":"2019110602061689200_ref10","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1186\/1752-1947-5-258","article-title":"De Garengeot\u2019s hernia in a 60-year-old woman: a case report","volume":"5","author":"Konofaos","year":"2011","journal-title":"J Med Case Rep."}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/11\/rjz287\/30437120\/rjz287.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/11\/rjz287\/30437120\/rjz287.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T02:06:35Z","timestamp":1573005995000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz287\/5612769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,1]]},"references-count":10,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz287","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,11]]},"published":{"date-parts":[[2019,11,1]]},"article-number":"rjz287"}}