HighlightsWe report a rare case of incarcerated femoral hernia containing the appendix inside the hernia sac (De Garengeot hernia) without appendicitis.The presence of the appendix within a femoral hernia sac is uncommon and is generally found only during surgery. Most times patient are taken to emergency surgery with the nonspecific diagnose of incarcerated hernia.The patient in this case was submitted to inguinotomy with appendectomy and hernia repair using mesh and presented good outcome, without complications or hernia recurrence.
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