Acute appendicitis presenting as an abdominal wall abscess: A case report

Area of Science:

• General Surgery
• Hernia Surgery
• Gastrointestinal Surgery

Background:

• Amyand hernia (AH) involves the appendix vermiformis within an inguinal hernia sac.
• AH is exceptionally rare in female patients.
• This case presented with an unusual initial symptom of an abdominal wall abscess.

Purpose of the Study:

• To report a rare case of Amyand hernia in a woman.
• To discuss the diagnostic and management challenges of AH presenting atypically.
• To emphasize the importance of timely surgical intervention for favorable outcomes.

Main Methods:

• A case study of a 60-year-old woman with a perforated appendix in a right inguinal hernia.
• Surgical management included standard open appendectomy and hernia repair.
• Post-operative recovery was uneventful.

Main Results:

• The patient presented with an abdominal wall abscess, a rare initial manifestation of AH.
• Successful surgical treatment of perforated appendix within the hernia sac was achieved.
• The patient experienced an uncomplicated post-operative course.

Conclusions:

• Amyand hernia requires a high index of suspicion, especially with atypical presentations like abdominal wall abscess.
• Early diagnosis and prompt surgical intervention are crucial for managing AH.
• Standard appendectomy and hernia repair, tailored to any associated pathology, form the cornerstone of management.