Acute Perforated Appendix Mimicking Umbilical Hernia: A Rare Case Report

The contents of umbilical hernia are usually omentum or bowel. Unexpected contents cause confusion in the diagnosis, especially when inflamed, and may mimic a strangulated umbilical hernia. Only four cases of appendicitis within an umbilical hernia have been reported. We reported a case of perforated appendicitis in to the abdominal wall at umbilicus presenting as strangulated umbilical hernia.