The presence of appendicitis in an incarcerated femoral hernia is an extremely rare occurrence, known as De Garengeot’s hernia, with potentially serious complications. An incarcerated femoral hernia was noticed intraoperatively, and the hernial sac, closely fused with femoral blood vessels, contained the phlegmonously inflamed vermiform appendix. Appendectomy and mesh hernioplasty were carried out. The postoperative period was uneventful.
In this group of patients, ultrasonograplry and leucocyte counts were
not adequately sensitive to be useful as discriminating diagnostic tools
in patients with suspected acute appendicitis