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Management of an Amyand's hernia complicated by necrotizing soft tissue infection: a case report

Erin Major1, Sadhvika Ramji2, Jeffrey Emrich2

  • 1Department of Graduate Medical Education, Rowan-Virtua School of Osteopathic Medicine, 1 Medical Center Drive, Stratford, NJ 08084, United States.

Journal of Surgical Case Reports
|August 15, 2026
PubMed

Insights

Inguinoscrotal hernias are rare, complicating management. This case report details successful treatment of a perforated appendicitis within an inguinoscrotal hernia, complicated by necrotizing fasciitis, using a single 48-hour operative interval.

Area of Science:

  • Surgery
  • Gastroenterology
  • Infectious Disease

Background:

  • Inguinoscrotal hernias are uncommon, representing approximately 2.7% of all inguinal hernias.
  • The rarity of these hernias complicates the establishment of standardized management guidelines for complex cases.
  • This case report addresses a rare presentation involving an inguinoscrotal hernia complicated by perforated appendicitis and necrotizing fasciitis.
Keywords:
biologic meshinguinal herniaperforated appendicitisscrotal abscess

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