Amyand’s hernia: a case report

An Amyand's hernia is a type of inguinal hernia where the appendix protrudes into the hernial sac. Pre-operative diagnosis is clinically challenging and ultimately the diagnosis is made intra-operatively. We report on a 75-year-old lady who presented with abdominal pain and a lump in her right groin region. She proceeded to theatre and had a diagnostic laparoscopy where she was diagnosed with an Amyand's hernia. The appendix was mildly inflamed and there was an ischemic appearance of the mesoappendix. According to the guidelines proposed by Losanoff and Basson she subsequently underwent a successful laparoscopic appendicectomy and primary repair of the hernia.