In literature, the reports on femoral hernia with acute appendicitis are scarce. It is mostly encounter in elderly women than men patients. Due to the scarcity of reported cases, no standard treatment is defined. We report a case of acute appendicitis in femoral hernia in middle-aged man.
Results: The main symptoms of appendicitis in femoral hernia are similar to those of incarcerated hernia, with painful swelling in the groin, but the differential trait is asymptomatic abdomen. The final diagnosis is usually made intra-operatively.
Conclusion: In view of the fact that femoral hernia itself is more frequently encountered in elderly women patients, the cases of appendicitis contained in the hernial sac refer mostly to this population. However, a possibility of this condition developing also in middle-aged men cannot be excluded. Early surgical treatment is the only option to handle the problem.