Case report on Amyands hernia

Author : Dr.Shikha Singh, Dr. Divyang Dave, Dr. Prakash Patel

Abstract : Amyand hernia is a rare type of inguinal hernia in which the vermiform appendix is found within the hernial sac, accounting for approximately 1% of all inguinal hernias. Complicated cases with appendicitis are even rarer. (1) C Ase Report: • 37-year-old male with 2-year old history of progressively increasing, painless right inguinal swelling, with no cough, constipation, or comorbidities. Examination revealed a reducible right inguinal bulge, more prominent on standing and with Valsalva. He was diagnosed with a right inguinal hernia and scheduled for elective surgery. • Intraoperatively, the hernial sac contained a mildly inflamed vermiform appendix adherent to the sac. Appendicectomy with Lichtensteins mesh hernioplasty was performed. Histopathology showed chronic appendicitis. The patient recovered well with no postoperative complications on follow-up. Discussion: • More common in males and usually rightsided. • The hernial sac may rarely contain structures such as caecum, bladder, ovary, fallopian tube, omentum, or Meckel’s diverticulum. • Similar pathology to typical appendicitis case, often triggered by trauma or luminal obstruction leading to ischaemia or infection. • Preoperative diagnosis is difficult, though ultrasound and CT can help Management: • Reduction of contents and tension-free hernia repair with or without meshplasty • Appendicectomy done in cases of inflammation, perforation or incarceration. Conclusion: • Amyand's hernia is a rare entity that combines two of the most frequently encountered conditions in general surgery • Most cases diagnosed intraoperatively Management includes appendicectomy with hernioplasty • Early intervention prevents complications

Keywords : Amyand’s hernia: rare inguinal hernia with appendix case report

Conference Name : International Conference on Clinical Medicine and Surgical Care Excellence (ICCMCE-26)

Conference Place : Mumbai, India

Conference Date : 4th Apr 2026