Report of a Patient with Amyand Hernia

Abstract

Amyand's Hernia is a very rare pathology that is recognized by the presence of inflamed appendix inside an inguinal hernia. The pre-operative diagnosis is exceptional. The recommended treatment is the appendectomy with herniotomy in the same operative time. A 56 –year- old male patient with history of right inguinal hernia of approximately 10 years of evolution was presented. He was attended because of abdominal pain related to the presence of an inflamed inguinal mass, non-reducible, associated to muscular defense to the right inguinal region. Surgical intervention was performed detecting the presence of epiplon and edematous vermiform appendix within the hernia sac.  An Appendectomy and reparation of the inguinal hernia were done in the same surgical time, Marlex mesh was decided to use. The patient´s evolution was satisfactory.

Keywords: Amyand hernia, acute appendicitis, incarcerated hernia.