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Updated: Oct 20, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Amyand's hernia a case report.

Hina Khalid¹, Naveed Ali Khan¹, Munira Abdul Aziz²

¹Dow University of Health Sciences, Karachi 75280, Pakistan.

International Journal of Surgery Case Reports

|September 11, 2021

Summary

This summary is machine-generated.

Amyand's hernia, a rare inguinal hernia containing the appendix, is often asymptomatic and diagnosed during surgery. Management is individualized based on appendix inflammation, with surgery being the primary treatment.

Keywords:

(AH) vermiform appendix Amyand's hernia Appendicectomy Hernioplasty Inguinal hernia

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Area of Science:

General Surgery
Gastroenterology

Background:

Amyand's hernia (AH) is a rare inguinal hernia variant, occurring in 0.4-1% of all inguinal hernia cases.
This condition involves the appendix residing within the hernia sac, often remaining asymptomatic and diagnosed incidentally during surgery.
Delayed diagnosis or missed cases can lead to complications such as acute appendicitis, occurring in approximately 0.1% of instances.

Purpose of the Study:

To report a case of Amyand's hernia managed operatively.
To highlight the diagnostic challenges and surgical approach for this rare condition.

Main Methods:

A 28-year-old male with a history of right inguinal swelling underwent elective open hernia repair.
Intraoperative findings revealed the appendix within the hernia sac, with mild congestion but no acute inflammation.
A Lichtenstein tension-free mesh repair with appendicectomy was performed.

Main Results:

The patient's postoperative period was uneventful, with discharge on the second day.
The surgical management successfully addressed the Amyand's hernia and appendicectomy.

Conclusions:

Amyand's hernia is an uncommon diagnosis, typically found intraoperatively.
Management should be tailored to the appendix's inflammatory state, abdominal sepsis, and patient comorbidities.
Laparoscopic approaches can be both diagnostic and therapeutic for Amyand's hernia.