Abstract
The presence of the vermiform appendix, inflamed or not, within a hernial sac is known as Amyand's hernia (AH). This represents 1 percent of all inguinal hernias and one third of these are associated with acute appendicitis. This presentation is a rare entity and most of the times it presents as a finding during the surgical event. We report a male patient in his fifth decade of life who consulted for a 10-day history of increased volume in the right inguinal region associated with pain and inability to reduce. An exploratory laparotomy was performed that required a right hemicolectomy. AH represents a diagnostic challenge, in most cases it is considered an incidental intraoperative diagnosis. There is no protocolized treatment, however, the inflammatory degree of the appendix is what will guide the surgical approach.
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