Incidental De Garengeot’s hernia: A case report of dual pathology to remember

INTRODUCTION: A De Garengeot’s hernia is the very rare dual pathology of a vermiform appendix within a femoral hernia. PRESENTATION OF CASE: We discuss the rare case of a 62 year old female who presented as an emergency with a strangulated femoral hernia. Within the hernia sac a partly necrotic vermiform appendix was discovered. The patient successfully underwent an appendicectomy and repair of her femoral hernia. The post-operative period was uneventful, with no further issues at follow-up. DISCUSSION: Our case report displays the successful treatment of a De Garengeot's hernia as an emergency admission, with a shorter than average admission time, and no post-operative complications. CONCLUSION: This is a rare case of dual pathology, of which we believe there are few published cases.