de Garengeot hernia: A unique surgical findingGranvall, Stephanie A. PA-C, MPASJournal of the American Academy of Physician Assistants: May 2014 - Volume 27 - Issue 5 - p 39–41 doi: 10.1097/01.JAA.0000443968.31234.63 Review Article Abstract Author Information ABSTRACT: Femoral hernias occur in about 3% of all abdominal wall hernias. Herniation of the appendix through a femoral hernia (called de Garengeot hernia) is a much rarer finding, occurring in 0.8% to 1% of all cases. This unique surgical finding is most often found intraoperatively due to the similarities it shares with an irreducible inguinal or femoral hernia that requires emergent surgical intervention. When evaluating a patient with a persistent groin lump, consider de Garengeot hernia in the differential diagnosis. Stephanie A. Granvall is a surgical PA with Swedish Surgical Specialists at Swedish Hospital in Issaquah, Wash. The author has disclosed no potential conflicts of interest, financial or otherwise. © 2014 American Academy of Physician Assistants.