Amyand's hernia with appendicular inflammatory mass collection

Abstract

Amyand hernia (AH) is defined as protrusion of appendix or its entrapment within the inguinal hernia sac. It occurs rarely and difficult to diagnose before operation. The cause of amyand hernia is unknown but pressure by the sharp edge of the internal ring may cause pressure necrosis, inflammation and consequently appendicitis. We present a case of 3 years old child with asymptomatic right sided inguinal hernia. On exploration, we found a long appendix (10 cm) with small olive like (1.5 cm) mass at its tip, so we performed appendectomy along with herniotomy. The patient tolerated the operation well and was discharged with satisfactory condition 48 hours post-operation.

Keywords

• Case report
• Amyand
• Appendix
• Hernia
• Inguinoscrotal
• Herniotomy