Appendicitis in De Garengeot Hernia: A Rare Presentation

De Garengeot hernia, a rare clinical entity characterized by the presence of the appendix within a femoral hernia sac, is a challenging condition often requiring prompt surgical intervention. Fewer than 100 cases have been reported in the literature containing appendicitis in de Garengeot hernia. We present a case of a 40-year-old female with a preoperatively diagnosed De Garengeot hernia with appendicitis. The patient presented with a painful and irreducible right groin swelling, and imaging revealed a femoral hernia containing an inflamed appendix. Urgent surgical intervention was undertaken, involving right femoral hernia repair and appendectomy. The surgical procedure, utilizing the infra-inguinal approach, proceeded uneventfully, with the patient recovering well postoperatively. De Garengeot hernia is a rare clinical presentation with no established treatment guidelines. Surgical management typically involves hernia repair and appendectomy, with the choice of repair method dependent on intraoperative findings. The use of prosthetic mesh in contaminated fields remains controversial, with considerations for infection risk and patient outcomes. Early diagnosis and appropriate surgical intervention are essential in managing De Garengeot hernia to prevent complications and ensure favourable patient outcomes. This case underscores the importance of recognizing and effectively treating this uncommon surgical condition.