First sliding Amyand hernia harbouring appendicular schistosomiasis: Case report

Area of Science:

• Gastroenterology
• Surgical Pathology
• Infectious Diseases

Background:

• Amyand's hernia (AH) is a rare condition involving the appendix within an inguinal hernia.
• Appendiceal schistosomiasis (AS) is an uncommon parasitic infection of the appendix.
• The simultaneous occurrence of AH and AS is exceptionally rare, posing diagnostic challenges.

Purpose of the Study:

• To report the first known case of coexisting Amyand's hernia and appendiceal schistosomiasis.
• To highlight the diagnostic difficulties and management strategies for this rare condition.

Main Methods:

• A case study of a 31-year-old male admitted for an indirect inguinal hernia.
• Intraoperative findings revealed a sliding Amyand's hernia with appendiceal schistosomiasis.
• Surgical management included Lichtenstein hernia repair and appendectomy.

Main Results:

• The patient presented with a right indirect inguinal hernia.
• Intraoperative findings confirmed a sliding Amyand's hernia with appendiceal schistosomiasis.
• The patient experienced an uneventful postoperative recovery and was referred for infectious disease consultation.

Conclusions:

• Intraoperative recognition of atypical hernia sacs can indicate sliding hernias and unusual contents.
• Schistosomiasis should be considered in appendiceal masses in endemic areas or among immigrants.
• Standard management involves appendectomy, hernia repair, and addressing associated pathologies.