title: De Garengeot hernia: Case report and review.
abstract: BACKGROUND
  Rene De Garengeot, a French surgeon, was the first to describe the presence of the appendix inside a femoral hernia sac in 1731. It is a rare entity that has fewer than 100 cases reported in literature.
  
  
  METHODS
  An 86 years-old male patient, comes to Emergency Department complaining of painful bulging in the right inguinal region, associated with local inflammatory signs. He was initially diagnosed as incarcerated femoral hernia and underwent emergency open surgery. Inguinotomy was performed and after hernia sac dissection it was possible to observe the presence of the appendix incarcerated in its interior, without clinical signs of appendicitis. Surgeons performed appendectomy and inguinal repair of the femoral hernia with placement of a polypropylene mesh.
  
  
  CONCLUSIONS
  De Garengeot hernia is a rare entity that requires early treatment in order to avoid possible complications. When facing a patient with incarcerated hernia emergency surgery must be indicated even if it is not possible to determine the contents of the hernia.
  
  
  CONCLUSIONS
  This paper presents a case report of a De Garengeot hernia patient who presented a good evolution after surgery.
authors.affiliation: General Surgery Resident at Hospital Universitário do Oeste do Paraná, Av. Tancredo Neves, 3224, Zip Code 85806-470, Cascavel, PR, Brazil. Electronic address: caroltalini@yahoo.com.br.
authors.forename: Carolina
authors.initials: C
authors.lastname: Talini
authors.affiliation: Medical Student at Universidade Estadual do Oeste do Paraná, Rua Universitária, 2069, Zip Code 85819-110, Cascavel, PR, Brazil. Electronic address: luan_gocana@hotmail.com.
authors.forename: Luan Ocaña
authors.initials: LO
authors.lastname: Oliveira
authors.affiliation: Assistant Professor at Universidade Estadual do Oeste do Paraná, Rua Universitária, 2069, Zip Code 85819-110, Cascavel, PR, Brazil. Electronic address: allancfaraujo@uol.com.br.
authors.forename: Allan César Faria
authors.initials: AC
authors.lastname: Araújo
authors.affiliation: Emergency Medicine Teacher at Universidade Estadual do Oeste do Paraná, Rua Universitária, 2069, Zip Code 85819-110, Cascavel, PR, Brazil. Electronic address: fspencernetto@gmail.com.
authors.forename: Fernando Antonio Campelo Spencer
authors.initials: FA
authors.lastname: Netto
authors.affiliation: Coordinator of General Surgery Residency and Assistant Professor at Hospital Universitário do Oeste do Paraná, Av. Tancredo Neves, 3224, Zip Code 85806-470, Cascavel, PR, Brazil. Electronic address: andrewestphalen@terra.com.br.
authors.forename: André Pereira
authors.initials: AP
authors.lastname: Westphalen
keywords: De Garengeot hernia; Incarcerated femoral hernia