De Garengeot hernia presenting with acute appendicitis: a rare dual pathology and surgical challenge: a case report

De Garengeot hernia is uncommon, contributing to ~0.5%–5% of all femoral hernias. A healthy 31-year-old male patient presented with a 3-day history of migrating right lower quadrant pain, nausea, and vomiting. Acute appendicitis was identified on a computed tomography scan. On the Diagnostic laparoscopy, the appendix was extremely inflamed and herniated in the femoral canal, a diagnostic feature of a De Garengeot hernia. The appendix was reduced gently; however, the hernia was not repaired in this index surgery. The patient had an uneventful recovery and was discharged on the first postoperative day. An elective laparoscopic femoral hernia repair was scheduled. De Garengeot hernia with complicated acute appendicitis is an operative and diagnostic challenge. This case is unique due to the patient’s young age. Accurate early diagnosis and an individualized operative plan were key factors in achieving an excellent outcome.