Atypical Presentation of Acute Appendicitis: Amyand's Hernia in a COVID-19 Patient Case Report

Abstract

An Amyand's hernia is described as the phenomenon of the vermiform appendix entrapped inside the sac of an inguinal hernia and is regularly overlooked as an obstructive hernia. In this case report, we describe a 73-year-old male patient who presented to the emergency room with a presenting complaint of painless bilateral masses in the inguinoscrotal region. During the admission process, the patient’s rapid COVID-19 test also tested positive for IgM SARS-CoV-2. A bilateral hernioplasty with the Lichtenstein technique was decided as the appropriate surgical intervention. During the procedure, the right inguinal hernia (Nyhus IIIB) with a hernial sac containing the right colon with the cecal appendix in the suppurative phase (Amyand's hernia) was observed, alongside a left inguinal hernia (NyHus IIIA). This case report depicts a unique presentation of Amyands Hernia and a discussion section aiding healthcare professionals in the diagnosis and management of this rare occurrence and patient education on post-surgical management.