{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:24:38Z","timestamp":1785450278025,"version":"3.56.0"},"reference-count":10,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. De Garengeot first described a femoral hernia containing the appendix in 1731. Appendicitis occurring in this rare clinical setting represents a challenge in diagnosis and management.<jats:italic>Case Presentation<\/jats:italic>. We present the case of a 71-year-old male with a three-day history of a nontender inguinal mass. Computed tomography (CT) suggested a femoral hernia. Intraoperatively, the hernia sac was noted to contain a perforated appendix.<jats:italic>Discussion<\/jats:italic>. This is an infrequently reported clinical scenario and only the 14th reported case in peer-reviewed literature which includes preoperative CT images. Our case adds to previously reported low sensitivity of CT for diagnosing De Garengeot\u2019s hernia. Furthermore, unlike our case the vast majority of previous reports noted a painful inguinal swelling.<jats:italic>Conclusion<\/jats:italic>. Perforated appendicitis in a femoral hernia is an extremely uncommon presentation. However, consideration should be given to De Garengeot\u2019s hernia in patients with a groin mass, even if nontender.<\/jats:p>","DOI":"10.1155\/2014\/932638","type":"journal-article","created":{"date-parts":[[2014,3,4]],"date-time":"2014-03-04T21:10:53Z","timestamp":1393967453000},"page":"1-3","source":"Crossref","is-referenced-by-count":7,"title":["Appendicitis in De Garengeot's Hernia Presenting as a Nontender Inguinal Mass: Case Report and Review of the Literature"],"prefix":"10.1155","volume":"2014","author":[{"given":"K.","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Bashar","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. J.","family":"McHugh","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, Dublin 2, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. M.","family":"McHugh","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland"},{"name":"Department of Surgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"1","first-page":"1105","volume":"56","year":"1963","journal-title":"Proceedings of the Royal Society of Medicine"},{"issue":"2","key":"2","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s10029-012-0993-3","volume":"17","year":"2013","journal-title":"Hernia"},{"issue":"1","key":"3","first-page":"68","volume":"47","year":"2004","journal-title":"Canadian Journal of Surgery"},{"issue":"873","key":"4","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1259\/bjr.73.873.11064659","volume":"73","year":"2000","journal-title":"British Journal of Radiology"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-005-0411-6"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0080"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/27759683"},{"issue":"1","key":"8","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/00000658-197401000-00005","volume":"179","year":"1974","journal-title":"Annals of Surgery"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-007-0208-5"},{"issue":"2","key":"10","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1067\/msy.2000.101151","volume":"127","year":"2000","journal-title":"Surgery"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/932638.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/932638.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/932638.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T09:00:40Z","timestamp":1498122040000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cris\/2014\/932638\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":10,"alternative-id":["932638","932638"],"URL":"https:\/\/doi.org\/10.1155\/2014\/932638","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}