A case of amyand's hernia

Abstract

A 69-year-old man developed right inguinal pain associated with a right inguinal mass swelling about 20 cm×15 cm in size ; the skin was erythematous, A plain abdominal computed tomography scan showed an indirect right inguinal hernia with bowel loops within the sac. Laboratory test results reflected a very pronounced inflammatory state. Emergency surgery was done for the entrapped hernia. An acute appendicitis was found in the hernia sac. Thus, this case was diagnosed as having an Amyand's hernia. Usually, a strangulated inguinal hernia is diagnosed in patients with groin swelling and pain. However, Amyand's hernia should be considered in the differential diagnosis of patients with an entrapped inguinal hernia.