PT - JOURNAL ARTICLE AU - Marjan Raad AU - Tord Høgsand AU - Muhammed Saeed Qureshi AU - James Pitt TI - Rare presentation of De Garengeot hernia in a 77-year-old woman AID - 10.1136/bcr-2019-232419 DP - 2020 Apr 01 TA - BMJ Case Reports PG - e232419 VI - 13 IP - 4 4099 - http://casereports.bmj.com/content/13/4/e232419.short 4100 - http://casereports.bmj.com/content/13/4/e232419.full SO - BMJ Case Reports2020 Apr 01; 13 AB - A 77-year-old woman presented with a rare surgical phenomenon known as De Garengeot hernia. This unique presentation occurs due to the presence of a vermiform appendix in a femoral hernia sac. The patient presented with right-sided groin pain and a partially reducible hernia; she was otherwise haemodynamically stable and denied fevers, nausea and vomiting. The diagnosis was confirmed with CT which demonstrated a right-sided femoral hernia containing a perforated tip of the appendix. The patient urgently underwent an open appendectomy and open right femoral hernia repair using the modified McEvedy’s incision.