A 21-year-old female patient presented with vague lower abdominal pain associated with nausea since 2 days. On examination, she was tender in the right iliac fossa. Based on clinical presentation and radiological test finding, she was diagnosed as appendicitis and was subjected for diagnostic laparoscopy and appendectomy. Histopathology proved it to be a tubercular appendix, which is a rarely encountered entity. However, in a country like India, tuberculosis (TB) is highly prevalent; however, TB of appendix is rare and less known.

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Femoral hernias are very rare presentation in comparison to inguinal hernia. Femoral hernias are a protrusion of the peritoneal sac covered with an extraperitoneal pad of fat through the femoral canal. Mostly an acquired condition often with incarceration or strangulation. Laparoscopic repair of femoral hernia has a learning curve for surgeons and now being preferred by majority surgeons to the conventional open repair. We report a case of a 65 year female as a high risk case of rheumatic heart disease who had underwent double valve replacement in recent, was undertaken for total laparoscopic extraperitoneal repair with meshplasty for the incarcerated femoral hernia on left side, with faster recovery of patient postoperatively. Laparoscopic repair of a femoral hernia reduces the risk of reoperation for a recurrence compared with open repair.

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