Abstract

The French surgeon Rene Jacques Croissant de Garengeot first described the presence of an appendix in a femoral hernia sac in 1731. We present the case of a 75-year-old lady with an incarcerated right femoral hernia which contained an appendix vermiformis. The treatment of choice of this rare disease entity is emergency surgery with simultaneous appendicectomy and repair of the femoral hernia. Suture repair or mesh repair can be used, the choice of which depends on surgeon preference, the age of the patient and the intra-operative findings (size of the hernia and the macroscopic appearance of the appendix). J Med Cases. 2016;7(6):213-215 doi: http://dx.doi.org/10.14740/jmc2499w

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