Highlights De Garengeot’s hernia is rare and describes a femoral hernia. Imaging revealed typical radiological features of an inflamed appendix herniating through. Femoral hernia contains the appendix was first described in 1731 by the Parisian surgeon Rene Jacques Croissant de Garengeot. Femoral defect was repaired by approximation of the inguinal ligament and cooper ligament with 1.0 Ethibond on a J shaped needle.

In carefully selected patients, a single stent may be adequate with no planned change of stent. There appears to be a clearly defined subgroup of patients who have recurrent problems with stent patency; these should have their interval exchange brought forward on a 3-monthly basis, or a self-expanding metal stent should be used.

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