A Case of Amyand’s Hernia Treated by Laparoscopic Appendectomy and Hernioplasty Simultaneously as Elective Surgery

Abstract

An 84-year-old man visited our hospital complaining of pain in the right inguinal region. Abdominal computed tomography revealed a right inguinal hernia containing a swollen appendix, based on which we made the diagnosis of Amyand’s hernia. Because of evidence of mild appendicitis, we started the patient on antibiotic therapy, with a plan for elective surgery. Laparoscopic surgery was performed one month after the onset. Although the appendix was adherent to the hernia sac, we considered that the inflammation had subsided. Laparoscopic appendectomy and transabdominal pre-peritoneal repair were performed as single operations. The postoperative course was uneventful. It is necessary to consider the timing of surgery, use of a mesh, and the approach method depending on the degree of inflammation of the appendix before surgery. Herein, we report this rare case, along with a review of the pertinent literature.