970 A Parisian Pain in the Groin; a Case of De Garengeot’s Hernia

Abstract Introduction 77-year-old gentleman presented with a four-day history of painful right sided irreducible groin swelling. Background previous bilateral mesh inguinal hernia repair thirty years prior. Differential diagnosis- recurrent incarcerated hernia. Description Emergency presentation lump repair. Past medical AF on rivaroxaban, HTN and BPH. Patient systemically well an in the groin. CTAP showed recurrence region containing fat stranding 2cm-sized fluid-filled structure (suspected appendix). Taken to theatre following day - oblique incision Obvious femoral identified. Haemorrhagic fluid necrotic appendix contained sac. Open appendicectomy performed through canal plicated using 2.0 prolene. No used due risk contamination. Discharged 2 post-op. Pathology confirmed acute appendicitis. Discussion Extremely rare case presentation. Femoral hernias account for 3% all De Garengeot only 1% hernias. Furthermore, appendicitis accounts 0.01% are much more common females than males 4:1 ratio. fifteen times patients who have undergone 33% men 4% women having Difficult pre-operative diagnosis given rarity 30% cases diagnosed imaging-initial Amyand CT imaging.