{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:23Z","timestamp":1787019323231,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>de Garengeot\u2019s hernias occur when an inflamed appendix is encased within a femoral sac. This is a relatively rare type of femoral hernia. As a result, there are currently no guidelines for the management of these hernias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a 90-year-old woman with a de Garengeot\u2019s hernia complicated with strangulation and perforation. The diagnosis was made intraoperatively, and it was managed with hernia repair and an appendicectomy. There were no postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The presentation of de Garengeot\u2019s hernias is non-specific. Enclosure of the bowel content within the hernia sac may mask systemic systems of disease. Rarely, septic signs or symptoms are identified on presentation. It is typically diagnosed intraoperatively, thus prompt emergency surgery should not be delayed by clinicians awaiting precise knowledge of the sac content via imaging. Prompt surgery with a single McEvedy incision enables treatment for both the appendicitis and abdominal wall defect, an appendectomy and hernia repair, respectively. In patients that present with an irreducible femoral hernia and biochemistry suggestive of an acute inflammatory process, there should be a high clinical suspicion for de Garengeot\u2019s hernia due to the risk of perforation being masked by an anatomical encasement around the perforated bowel content.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589221139736","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:34:46Z","timestamp":1673570086000},"page":"396-400","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["De Garengeot\u2019s hernia: A masked abdominal perforation"],"prefix":"10.1177","volume":"33","author":[{"given":"Brian","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Metabolism, Digestion and Reproduction, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Chander","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery, Northwick Park & St Mark\u2019s Hospitals, London North West University Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Shorvon","sequence":"additional","affiliation":[{"name":"Department of Radiology, Central Middlesex Hospital, London North West University Healthcare NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasim","family":"Al-Musawi","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery, Northwick Park & St Mark\u2019s Hospitals, London North West University Healthcare NHS Trust, London, UK"},{"name":"Faculty of Medicine, Imperial College London, London, 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