Amyand's hernia: history, imaging, and management

Abstract

Background: Amyand's hernia is an inguinal hernia containing vermiform appendix. We report a case of this rare condition, diagnostic findings, and management considerations. A short review and history of Amyand's hernia is presented as well.

Methods: A literature search from Medline was done, and the published articles were reviewed. A case of Amyand's hernia, which was recently managed by the authors, was studied and the data reviewed.

Results: Diagnosis of the Amyand's hernia is usually made intraoperatively. The majority of the existing literature recommends doing open or laparoscopic appendectomy with open repair of the inguinal hernia, although some authors advise mesh repair of the hernia if the appendix is normal.

Conclusion: Amyand's hernia can be a challenge for the surgeon. We recommend laparoscopic appendectomy and open repair of the inguinal hernia without using mesh.