ArticleCureus2026
Rare Presentation of Necrotic Appendicitis and Small Bowel Obstruction in an Elderly Man: De Garengeot Hernia.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
De Garengeot hernia, characterized by the presence of the vermiform appendix within the femoral hernia sac, is a rare condition often diagnosed only intraoperatively. The incidence of acute appendicitis within a De Garengeot hernia is even more uncommon, and its clinical presentation may be atypical, making preoperative diagnosis difficult. This report describes the case of a 67-year-old male patient with multiple comorbidities, including an abdominal aortic aneurysm, who presented with right inguinal pain and bulging, culminating in the intraoperative diagnosis of a De Garengeot hernia with acute appendicitis and tip necrosis. The surgical approach involved appendectomy and hernia repair without mesh due to the risk of infection. The patient evolved favorably, highlighting the importance of high clinical suspicion and appropriate surgical management for this rare and potentially serious condition.
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