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Strangulated femoral hernia containing acute gangrenous appendicitis: case report and review of the literature.

The author reports the case of a 69-year-old woman with acute gangrenous appendicitis in a strangulated right femoral hernia. The hernia was diagnosed preoperatively, but the gangrenous appendix was found in a strangulated loop of small bowel only at operation. The combination of gangrenous appendicitis and strangulated loop of small bowel in a femoral hernial sac is an unusual finding, but awareness of it will avoid delay in treatment and lead to the patient's full recovery.