Presentation
Increasing pain in right inguinal region with palpable resistance, 10 x 5 cm.
Patient Data
Age: 65 years
Gender: Female
From the case:
De Garengeot hernia
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Axial non-contrast

Hernia in right inguinal tract, lateral of pubic tubercle and medial to common femoral vein, consistent with a femoral hernia.
The hernia contains a swollen appendix. No intestinal strangulation.
Prominent abdominal and inguinal lymph nodes due to treated follicular lymphoma.
Case Discussion
Surgery confirmed right femoral hernia containing necrotic appendix consistent with a rare case of De Garengeot hernia with incarcerated appendicitis.