De Garengeot’s hernia: A rare presentation of acute appendicitis and challenging preoperative diagnosis

De Garengeot hernias are femoral hernias that contain the appendix. They represent a rare subtype of femoral hernias, which are themselves a small portion of all inguinal hernias. A 55-year-old female with a history of type 2 diabetes mellitus complaining of right inguinal bulge and acute onset right lower quadrant pain. Computed tomography (CT) showed right groin soft tissue mass and surrounding fat inflammation within the femoral sac, consistent with incarcerated appendix. The patient underwent urgent appendectomy with hernia repair and was discharged from the hospital without further complication. De Garengeot hernias have nonspecific presentations but may develop severe complications such as incarceration, strangulation, and bowel necrosis. Preoperative diagnosis is paramount in prompt treatment.