Right-sided Amyand's hernia with cecal perforation and acute appendicitis

Abstract

Inguinal hernia repair is one of the most common surgeries performed in the department of general surgery throughout the world. However, the presence of a vermiform appendix in the hernial sac, also known as Amyand's hernia, along with a perforated cecum is very rare. We report the case of an elderly male presenting to the surgery emergency with a strangulated, large, right-sided inguinal hernia containing perforated cecum and vermiform appendix as contents in the sac. Resection of the ileocecal segment and side-to-side ileocolic anastomosis of the bowel was performed. Anatomical repair of the hernia was done without the use of mesh.