Diverticular abscess presenting as an incarcerated inguinal hernia

Abstract

Acute diverticulitis may present with an abscess that is usually pericolonic or pelvic and can be treated with urgent surgery or percutaneous drainage. We present a case of a diverticular abscess presenting as a left inguinal hernia. This is analogous to an Amyand's hernia in which an inflamed appendix is found in a right inguinal hernia. The patient presented was managed with open drainage of the hernia and subsequent laparoscopic sigmoid resection in the same hospitalization.