Concurrent Amyand and Littre Hernias With Incidental Hodgkin Lymphoma: A Diagnostic and Surgical Challenge

We report a rare case of a 62-year-old man with a right giant inguinoscrotal hernia and a concurrent retroperitoneal mass. Preoperative imaging was inconclusive regarding the hernia sac contents and the nature of the pelvic mass. Intraoperatively, the hernia sac contained the caecum, appendix, Meckel's diverticulum (MD) and terminal ileum-confirming the simultaneous presence of Amyand and Littre hernias. Additionally, a left-sided retroperitoneal solid-cystic mass was identified and excised. This case underscores the diagnostic difficulties posed by complex hernias and highlighted the surgical challenges involved in managing coexisting intra-abdominal pathologies. Histopathological examination revealed a mesenteric cyst with infarcted tissue and an incidental diagnosis of mixed cellularity classical Hodgkin lymphoma (MCCHL) from the lymph node, adding a haematological dimension to this already rare surgical case.