# Strangulated Femoral Hernia Containing Perforated Appendicitis and Perforated Small Bowel (De Garengeot Hernia): A Case Report

## TL;DR

This case report describes a rare hernia containing a perforated appendix and small bowel, highlighting the surgical challenges of this combined condition.

## Contribution

The report presents a rare clinical case of De Garengeot hernia with perforated appendicitis and small bowel perforation.

## Key findings

- De Garengeot hernia can present with both strangulated hernia and acute appendicitis.
- Perforation of the appendix and small bowel within the hernia sac complicates surgical management.
- Early recognition is crucial for effective treatment of this combined condition.

## Abstract

A femoral hernia containing the appendix within the sac is known as De Garengeot hernia. This condition is relatively rare but is important to recognize because it combines the complications of both femoral hernia and acute appendicitis, which are two distinct surgical emergencies. Clinical findings of a strangulated or incarcerated hernia may obscure signs of acute appendicitis. The presence of the inflamed appendix within the femoral hernia sac complicates the management of both conditions and requires careful surgical planning. We report a case of an 87-year-old female with De Garengeot hernia, complicated by perforated appendicitis and strangulated small bowel with perforation.