Hernia appendicitis is a rare occurrence often described in association with groin hernias. We present a rare case of hernia appendicitis through a Pfannenstiel incision. Laparoscopy was performed with the intention to perform an appendectomy. An acutely inflamed appendix was visualized with the tip incarcerated into a 2 cm segment of the right most portion of a previous Pfannenstiel incision. Laparoscopic trans-hernial appendectomy with immediate laparoscopic suture herniorraphy was performed.
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