Amyand's Hernia: Case Report -Current Dilemma in Diagnosis and Management

Amyand's hernia is an extremely rare condition, often misdiagnosed as a strangulated inguinal hernia, in which the inguinal hernial sac contains the vermiform appendix. It is often a surgical surprise. The reported incidence is approximately 1% of all adult inguinal hernia cases. Acute appendicitis in the Amyand's hernia is even less common. We report a rare presentation of acute appendicitis associated with Amyand's hernia managed by en masse reduction of the hernia followed by laparoscopic appendicectomy and open Lichtenstein's tension free inguinal hernioplasty.