De Garengeot's Hernia: A rare presentation of an ischemic appendix within a strangulated femoral hernia in an elderly male

Abstract

Introduction: De Garengeot’s hernia; the presence of a vermiform appendix in the femoral hernia sac, is a rare occurrence. Due to the paucity of cases and no large case series yet published, the incidence of De Garengeot’s hernia is reported between 0.5–5%. Femoral hernias account for less than 5% of all groin hernias and are three times more common amongst females and amongst the elderly. We report an unusual case of an 84-year-old male patient with a strangulated femoral hernia sac containing an ischemic appendix.