{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:02:39Z","timestamp":1756339359568,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,6,26]]},"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>A De Garengeot hernia is a femoral hernia containing the vermiform appendix. This extremely rare hernia is associated with appendicitis and the risk of perforation and abscess formation. Given limited data, it poses both diagnostic and management difficulties. While management is generally surgical, questions remain about the best operative approach, indications for appendicectomy and optimum hernia repair technique. We describe a case of acute appendicitis within a De Garengeot hernia that was managed with an open appendicectomy via a Lockwood incision. This case helps to illustrate the management considerations present for this rare clinical pathology and describes a method to effectively identify the hernia and resect the appendix.<\/jats:p>","DOI":"10.1136\/bcr-2021-247010","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T12:01:08Z","timestamp":1657108868000},"page":"e247010","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of appendicitis in a De Garengeot hernia: Lockwood approach"],"prefix":"10.1136","volume":"15","author":[{"given":"Benjamin","family":"Julien","sequence":"first","affiliation":[{"name":"Department of General Surgery, Wollongong Hospital, Wollongong, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5416-1246","authenticated-orcid":false,"given":"Yeqian","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wollongong Hospital, Wollongong, NSW, Australia"},{"name":"The University of Sydney, Sydney, New South Wales, Australia"},{"name":"University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei Ling","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wollongong Hospital, Wollongong, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Wollongong Hospital, Wollongong, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,7,6]]},"reference":[{"key":"2025082700173045000_15.7.e247010.1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwm011"},{"key":"2025082700173045000_15.7.e247010.2","unstructured":"De Garengeot RJC . Traite des operations de chuirgie. Paris: Huart, 1731."},{"key":"2025082700173045000_15.7.e247010.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.12.042"},{"key":"2025082700173045000_15.7.e247010.4","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":"2025082700173045000_15.7.e247010.5","doi-asserted-by":"crossref","first-page":"140","DOI":"10.12659\/MSM.889873","article-title":"Amyand's hernia: a review","volume":"20","author":"Ivanschuk","year":"2014","journal-title":"Med Sci Monit"},{"key":"2025082700173045000_15.7.e247010.6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530210041028"},{"key":"2025082700173045000_15.7.e247010.7","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s00464-020-07934-5","article-title":"De Garengeot hernia: a systematic review","volume":"35","author":"Guenther","year":"2021","journal-title":"Surg Endosc"},{"key":"2025082700173045000_15.7.e247010.8","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-4-44"},{"key":"2025082700173045000_15.7.e247010.9","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s10029-016-1549-8","article-title":"Emergency femoral hernia repair: 13-year retrospective comparison of the three classical open surgical approaches","volume":"21","author":"Chia","year":"2017","journal-title":"Hernia"},{"key":"2025082700173045000_15.7.e247010.10","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":"2025082700173045000_15.7.e247010.11","doi-asserted-by":"crossref","unstructured":"Brosnan C , Keogh S , Bolger JC , et al . Emergency surgery in an elective setting: a case report detailing incidental diagnosis of a de Garengeot hernia. J Surg Case Rep 2020;2020.doi:10.1093\/jscr\/rjaa164","DOI":"10.1093\/jscr\/rjaa164"},{"key":"2025082700173045000_15.7.e247010.12","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1002\/ccr3.1914","article-title":"\u0391 very rare case of de Garengeot's hernia: acute appendicitis within a femoral hernia","volume":"7","author":"Filippou","year":"2019","journal-title":"Clin Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:17:38Z","timestamp":1756279058000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":12,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,7,6]]},"published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1136\/bcr-2021-247010"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247010","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}