Combined Type II Amyand's hernia and sliding hernia: A rare presentation of an unusual type of inguinal hernia

Abstract

Repair of inguinal hernia is one of the most common procedures in general surgical practice. Amyand's hernia is an unusual condition that entails the presence of the appendix in the hernial sac. In this case, we present a rare combination of Type II Amyand's hernia and sliding hernia that was discovered during elective hernial repair in a male patient. The inflamed appendix was removed, and tension-free Lichtenstein repair was performed. Postoperative recovery was uneventful with no recorded complications or recurrence of hernia. Amyand's hernia is usually diagnosed intraoperatively. The association of a sliding component with Amyand's hernia did not alter the management plan. The use of synthetic mesh in Type II Amyand's hernia is safe and feasible, despite the recommendation to avoid prosthetic repair in this type of hernia.

Keywords

• amyand
• combined
• rare
• sliding
• unusual