Amyand’s hernia associated with acute appendicitis

Abstract

Introduction: Amyand’s hernia (AH), a rare form of inguinal hernia, is characterized by finding the cecal appendix within the hernial sac. It is observed in 0.4–0.6% of inguinal hernias and complications such as acute appendicitis or perforated appendicitis can occur in 0.1% of the cases. The diagnosis is most often performed intraoperatively and its classification and management depend on the degree of appendix involvement. Case Report: A 53-year-old male patient presenting with right iliac fossa pain for two days associated with a mass in the right inguinal region. Physical examination revealed an irreducible right inguinal hernia, leading to the diagnosis of incarcerated inguinal hernia. Surgical treatment was proposed and performed. It evidenced the presence of the cecal appendix within the hernial sac with clear signs of inflammation (type II of the Losanoff and Basson classification). The cecal appendix was reduced, an appendectomy was performed via McBurney incision, and the right inguinal abdominal wall was repaired with no need for prosthetic mesh. Conclusion: Although AH is a rare condition, it should be considered among the differential diagnoses in cases of pain in the iliac fossa, inguinal swelling, and signs of infection.