Jesse Pasternak,Megan  Melland-Smith,
Atypical presentation of a de Garengeot Hernia: A Case Report
Surgical Case Reports
2018
2613-5965
http://dx.doi.org/10.31487/j.SCR.2018.03.110
https://www.sciencerepository.org/atypical-presentation-of-a-de-garengeot-hernia-a-case-report_SCR-2018-3-110 
Abstract: Introduction: An inflamed appendix found within a femoral hernia, a de Garengeot hernia, is a rare
occurrence which can present with a variety of different symptoms and be a challenge to surgical
management.
Case Presentation: We present the case of a 59-year-old female who presented with migratory right lower
quadrant pain and was found to have a de Garengeot hernia diagnosed pre-operatively on CT imaging. She
was taken to the OR for an urgent laparoscopic appendectomy with closure of the femoral hernia sack.
Given this is not a true repair, the patient was scheduled for an elective femoral hernia repair subsequently.
Discussion: This is the first report of a de Garengeot hernia from the Toronto area. Our case is the first of
its kind to present with typical signs of appendicitis without any obvious bulge in the groin.
Conclusion: This case report describes two very common acute surgical presentations, appendicitis and
incarcerated hernia, seen simultaneously with only one rare pathology.Keywords: Garengeot, Hernia, appendix