De Garengeot’s Hernia: Case Report of Appendicitis Within an Incarcerated Femoral Hernia

We present the case of a 64-year-old Caucasian female who was admitted to our emergency department with a 3-day history of a painful mass in her right inguinal area. The lump had increased in size over the previous two days and an overlying skin discoloration was also noted. With the diagnosis of an incarcerated hernia, an infrainguinal incision was carried out and a femoral hernia containing an inflamed appendix was identified, a rare condition known as de Garengeot’s hernia. This is a rather uncommon finding at surgery that is seldom diagnosed in the preoperative context.