{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:24:37Z","timestamp":1785450277946,"version":"3.56.0"},"reference-count":10,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,26]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>De Garengeot hernia describes a rare phenomenon in which a vermiform appendix is found in a femoral hernia sac. We describe a case of De Garengeot hernia presenting as a groin lump associated with loss of appetite, weight loss and fatigue. A 72-year-old woman was referred to our rapid access 2-week clinic as isolated lymphadenopathy with a 4-week history of a gradual right groin swelling accompanied by an unintentional weight loss, lethargy and anorexia. An urgent excisional lymph node biopsy was performed preceding the CT scan of the chest, abdomen and pelvis. The biopsy showed a shaving of appendix wall, and the CT scan revealed a right-sided femoral hernia with appendix as its content. The patient was urgently contacted for a laparoscopic appendicectomy and an open right femoral hernia repair. The patient recovered well postoperatively, and her systemic symptoms fully resolved when reviewed 10 weeks after the operation.<\/jats:p>","DOI":"10.1136\/bcr-2019-230455","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T05:35:43Z","timestamp":1562909743000},"page":"e230455","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Unusual presentation of De Garengeot hernia"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6552-337X","authenticated-orcid":false,"given":"Chang Woo","family":"Lee","sequence":"first","affiliation":[{"name":"Department of General Surgery, William Harvey Hospital, Ashford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7109-943X","authenticated-orcid":false,"given":"Angelos","family":"Mantelakis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, William Harvey Hospital, Ashford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Abu K","family":"Nahid","sequence":"additional","affiliation":[{"name":"Department of General Surgery, William Harvey Hospital, Ashford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of General Surgery, William Harvey Hospital, Ashford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,7,11]]},"reference":[{"key":"2025082704050398000_12.7.e230455.1","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.1056\/NEJMicm0802611","article-title":"De Garengeot\u2019s Hernia","volume":"361","author":"Chung","year":"2009","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082704050398000_12.7.e230455.2","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1515\/med-2016-0065","article-title":"Garengeot\u2019s hernia: two case reports with CT diagnosis and literature review","volume":"11","author":"Garcia-Amador","year":"2016","journal-title":"Open Med"},{"key":"2025082704050398000_12.7.e230455.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d7668"},{"key":"2025082704050398000_12.7.e230455.4","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1177\/000313480507100617","article-title":"De Garengeot hernia: appendicitis within a femoral hernia","volume":"71","author":"Akopian","year":"2005","journal-title":"Am Surg"},{"key":"2025082704050398000_12.7.e230455.5","first-page":"114","article-title":"Strangulation of the appendix in a femoral hernia sac","volume":"63","author":"Weir","year":"1994","journal-title":"Ulster Med J"},{"key":"2025082704050398000_12.7.e230455.6","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-211102"},{"key":"2025082704050398000_12.7.e230455.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2011.12.003"},{"key":"2025082704050398000_12.7.e230455.8","doi-asserted-by":"crossref","first-page":"bcr-2017-220926","DOI":"10.1136\/bcr-2017-220926","article-title":"A case of De Garengeot hernia and literature review","volume":"5","author":"Bidarmaghz","year":"2017;2017","journal-title":"BMJ Case Rep"},{"key":"2025082704050398000_12.7.e230455.9","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0993-3"},{"key":"2025082704050398000_12.7.e230455.10","doi-asserted-by":"crossref","first-page":"bcr-2018-225174","DOI":"10.1136\/bcr-2018-225174","article-title":"A rare case of incarcerated femoral hernia containing small bowel and appendix","volume":"11","author":"Sinclair","year":"2018","journal-title":"BMJ Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230455","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:05:17Z","timestamp":1756292717000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":10,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,11]]},"published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1136\/bcr-2019-230455"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230455","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}