Abstract

Amyand's hernia is the presence of the appendix within an inguinal hernia sac. It is a rare condition, occurring in 1% of inguinal hernia patients. The clinical presentation varies depending on the extent of appendix inflammation. Amyand's hernia is difficult to diagnose clinically. However, imaging studies are valuable for both its diagnosis and detection of the associated complications. Here, we report a case of Amyand's hernia in a 3-year-old male child who presented with a history of right inguinal tenderness, pain, and swelling. An operation revealed a hernia sac containing the inflamed appendix; hence, an appendectomy was performed along with a right inguinal herniotomy.

Highlights

  • Amyand’s hernia is the presence of the vermiform appendix within an inguinal hernia sac; this condition was first described by Claudius Amyand in 1736 [1,2]

  • The appendix is found in the hernial sac in about 1% of inguinal hernias and an inflamed appendix is found in only 0.13% of cases

  • Type II is an acute appendicitis localized in a hernial sac, which is treated with an appendectomy through the hernia with a mesh hernia repair; this procedure is associated with a higher risk of mesh infection

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Summary

Introduction

Amyand’s hernia is the presence of the vermiform appendix within an inguinal hernia sac; this condition was first described by Claudius Amyand in 1736 [1,2]. Amyand's hernia is the presence of the appendix within an inguinal hernia sac. We report a case of Amyand's hernia in a 3-year-old male child who presented with a history of right inguinal tenderness, pain, and swelling.

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