Amyand’s hernia: a case report and review of literature

An amyand's hernia is an inguinal hernia containing the vermiform appendix with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate amyand's hernia. Its pre-operative diagnosis is rare and it is commonly diagnosed intra-operatively. Treatment of amyand's hernia depends on the status of the appendix and is guided by the Losanoff and Basson classification system. We report the case of a 55 years old male who presented to surgery OPD with complaints of swelling in the right groin since last 5 years. There was no history of pain in the groin or pain abdomen or vomiting. Examination of the patient revealed an indirect, incomplete, reducible inguinal hernia on right side with a positive cough impulse. After all baseline investigations, the patient was planned for elective mesh repair of the hernia. Intra-operative findings included a large indirect inguinal hernia sac containing a normal appearing appendix as its content. Herniated contents were reduced into the abdominal cavity, herniotomy was done and a polypropylene mesh was used for hernioplasty. The postoperative outcome was favorable.