{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T02:21:03Z","timestamp":1789957263946,"version":"4.0.1"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,23]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>De Garengeot\u2019s hernia is the presence of an appendix in a femoral hernia and can be a rare cause of an acute groin swelling. Here, we present a case report of an elderly woman who was referred to us with a short history of a painful, tender lump in the right groin associated with nausea and vomiting. Her inflammatory markers were raised, and to establish a final diagnosis, an urgent CT scan was requested which showed a blind ending tubular structure in a hernia sac. She was taken to the theatre for urgent exploration of the groin which revealed that it was a femoral hernia, the sac of which contained gangrenous appendix, the base of which could not be accessed through the groin incision and, therefore, a lower midline laparotomy incision was made and a formal appendicectomy was done.<\/jats:p>","DOI":"10.1136\/bcr-2020-237526","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:01:55Z","timestamp":1611838915000},"page":"e237526","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["De Garengeot\u2019s hernia in an elderly woman as a diagnostic challenge: a review of literature"],"prefix":"10.1136","volume":"14","author":[{"given":"Zeeshan Saboor","family":"Ahmed","sequence":"first","affiliation":[{"name":"General Surgery, Russells Hall Hospital, Dudley, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sufyan","family":"Azam","sequence":"additional","affiliation":[{"name":"Department of Radiology, Russells Hall Hospital, Dudley, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayeshea","family":"Shenton","sequence":"additional","affiliation":[{"name":"Department of Radiology, Russells Hall Hospital, Dudley, West Midlands, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0325-8440","authenticated-orcid":false,"given":"Akinfemi Ayobami","family":"Akingboye","sequence":"additional","affiliation":[{"name":"General Surgey, Dudley Group of Hospitals NHS Trust, Dudley, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"2025082711404465000_14.1.e237526.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-220926","article-title":"A case of De Garengeot hernia and literature review","volume":"2017","author":"Bidarmaghz","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082711404465000_14.1.e237526.2","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s10029-013-1180-x","article-title":"Laparoscopic repair for a previously unreported form of ventral hernia on the right iliac fossa in an elderly emaciated woman","volume":"19","author":"Yokoyama","year":"2015","journal-title":"Hernia"},{"key":"2025082711404465000_14.1.e237526.3","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-5-258","article-title":"De Garengeot's hernia in a 60-year-old woman: a case report","volume":"5","author":"Konofaos","year":"2011","journal-title":"J Med Case Rep"},{"key":"2025082711404465000_14.1.e237526.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0993-3"},{"key":"2025082711404465000_14.1.e237526.5","doi-asserted-by":"publisher","DOI":"10.1159\/000250821"},{"key":"2025082711404465000_14.1.e237526.6","first-page":"496","article-title":"DeGarengeot hernia: transabdominal preperitoneal hernia repair and appendectomy","volume":"11","author":"Comman","year":"2007","journal-title":"JSLS"},{"key":"2025082711404465000_14.1.e237526.7","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rju008"},{"key":"2025082711404465000_14.1.e237526.8","first-page":"1","article-title":"De Garengeot's hernia: two case reports with correct preoperative identification of the vermiform appendix in the hernia","volume":"2016","author":"Jin","year":"2016","journal-title":"Case Rep Surg"},{"key":"2025082711404465000_14.1.e237526.9","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.ijscr.2017.08.012","article-title":"Surgical management of a de Garengeot's hernia using a biologic mesh: a case report and review of literature","volume":"39","author":"Klipfel","year":"2017","journal-title":"Int J Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:54Z","timestamp":1756320054000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,28]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-237526"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237526","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}