A case of Amyand’s hernia

Abstract

Amyand’s hernia is a rare and unexpected condition, defined as a variant of inguinal hernia that contains vermiform appendix. Although the status of the appendix in the hernia indicates the type of surgical repair, the operative management is not completely standardized to date. We report a case of a type I Amyand’s hernia in an 84-year-old man who present painful but reducible right inguinal hernia. The diagnosis of Amyand’s hernia is made on-table. According to intraoperative founding, the patient receives tension-free herniorraphy with polypropylene mesh repair without appendectomy. No postoperative complications are reported. This case highlights current considerations in the management of this rare entity and provides evidences based on surgical literature and common clinical practice. The management of Amyand’s hernia reflects the potential variability of clinical presentation, and it is tailored on patient’s condition, type of appendiceal inflammation, and surgical experience.