RT Journal Article SR Electronic T1 Perforated appendicitis within paraumbilical hernia JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1133 OP 1134 VO 24 IS 10 A1 Al-Qahtani, Hamad H. A1 Al-Qahtani, Tariq Z. YR 2003 UL http://smj.org.sa/content/24/10/1133.abstract AB The appendix is not uncommonly encountered within an external hernial sac. However, acute appendicitis in hernia is quite rare. We report a female patient who was admitted and operated as a case of incarcerated, strangulated paraumbilical hernia and the hernial sac was found to contain part of the greater omentum, pus and acutely inflamed, gangrenous appendix, perforated at the tip. Appendicectomy and hernial repair were carried out through the same incision.