Amyand’s Hernia- A Case Report

Abstract Background: An Amyand’s hernia refers to the presence of an appendix within an inguinal hernia sac. It is a rare entity which presents mostly at the exploration of the inguinal canal. This uncommon finding occurs in less than 1% of all right side inguinal hernias. The appendix may be apparently normal or have all the features of acute appendicitis with its possible complications. Losanoff and Basson suggested a distinct classification to improve the management of Amyand’s hernias. Diagnosis is usually made at the time of surgery, which is usually indicated in all incarcerated hernias.

Case report: We report here the case of a patient operated in the Emergency Department of “Mother Teresa” University hospital center, for this rare kind of hernia.

Conclusion: The purpose of this report is to create general awareness among surgeons who might be dealing with this hernia surgery, as they may encounter unexpected intraoperative findings such as Amyand’s hernia. It is important to be aware of all clinical possibilities and appropriate management techniques. Consequently, our recommendation is that the decision to perform an appendectomy and/or to use mesh to repair hernias should always be individualised.

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Updated: April 26, 2017 — 5:05 pm