Abstract

Background: Amyand hernia is defined as the presence of an appendix within the hernial sac with or without appendicitis. It is an extremely rare condition seen in approximately 1% of all hernias, whereas associated complications like acute appendicitis, or perforated appendicitis, are even rarer.
Case presentation:We describe a case of a 50-year-old male patient, who presented to the Department of Surgery with an incarcerated right-side inguinal hernia without any signs of ischemic complications. He was admitted and a hernioplasty was performed. As an incidental finding, an Amyand hernia was encountered that was treated without appendectomy and placement of a prosthetic mesh without any complications.
Conclusion: Amyand’s hernia is a rare presentation of inguinal hernias and the preoperative diagnosis of Amyand’s hernia remains a challenge. CT scan and ultrasonography are helpful for the diagnosis but the definite diagnosis should be made by laparoscopy.

Key words: Amyand's hernia, hernia repair, Inguinal hernia, Acute apendicitis, Cecal appendix