A rare case of type II Amyand’s hernia

Authors

  • Stefan Jakovljevic Department of Surgery, University of Kragujevac, Kragujevac, Serbia
  • Aleksandar Cvetkovic Department of Surgery, University of Kragujevac, Kragujevac, Serbia
  • Marko Spasic Department of Surgery, University of Kragujevac, Kragujevac, Serbia
  • Bojan Stojanovic Department of Surgery, University of Kragujevac, Kragujevac, Serbia
  • Marko Petrovic Department of Surgery, University of Kragujevac, Kragujevac, Serbia
  • Bojan Milosevic Department of Surgery, University of Kragujevac, Kragujevac, Serbia

DOI:

https://doi.org/10.47391/JPMA.6700

Abstract

Amyand's hernia represents an inguinal hernia containing an appendix within the hernia sac. This extremely rare condition occurs in approximately 1% of all inguinal hernias. This report describes the case of an 84-year-old male who presented with a right inguinal mass that intraoperatively turned out to be Amyand's hernia type-II with a gangrenous and perforated appendix. An appendectomy and peritoneal lavage were performed, followed by a hernioplasty where a modified Bassini repair was used. The patient fully recovered, and was discharged from the hospital on the fourth day. A non-reducible inguinal hernia containing a perforated appendix is a very rare emergency that requires immediate intervention to prevent abdominal sepsis. Therefore, while examining an inguinal hernia, the possibility of Amyand's hernia should always be considered.

Keywords: Amyand's hernia, Acute appendicitis, Inguinal hernia.

Published

2023-06-15

How to Cite

Jakovljevic , S., Cvetkovic, A., Marko Spasic, Stojanovic, B., Petrovic, M., & Bojan Milosevic. (2023). A rare case of type II Amyand’s hernia. Journal of the Pakistan Medical Association, 73(7), 1518–1520. https://doi.org/10.47391/JPMA.6700

Issue

Section

CASE REPORT