Amyand's Hernia with Appendicitis: A Case Report and Integrative Review

Area of Science:

• Surgery
• Gastroenterology
• Anatomy

Background:

• Inguinal hernia affects 1.2% of the population, being more prevalent in males.
• Inflammation of the appendix within an inguinal hernia sac (Amyand's hernia) is rare and challenging to diagnose preoperatively.

Purpose of the Study:

• To present a case of Amyand's hernia.
• To review existing literature on this rare condition, highlighting diagnostic challenges and management controversies.

Main Methods:

• Case report.
• Systematic literature search of PubMed using "Appendix" [MeSH] AND "hernia, inguinal" [MeSH] terms on June 1, 2015.
• Analysis of 26 selected case reports from an initial search of 38 articles.

Main Results:

• The literature search yielded 26 relevant case reports on Amyand's hernia.
• Amyand's hernia is often discovered incidentally during surgical repair of incarcerated inguinal hernias.

Conclusions:

• Amyand's hernia is an uncommon diagnosis with significant diagnostic challenges.
• Consideration of Amyand's hernia in cases of incarcerated inguinal hernia is essential to avoid potential complications.