Amyand's Hernia in an Incarcerated Right Inguinoscrotal Hernia: Surgical Management of a Rare Presentation.

Abstract

Amyand's hernia is an uncommon form of inguinal hernia in which the appendix is found within the hernia sac. Inflammation of the appendix in this setting is exceptionally rare, and the diagnosis is most often confirmed during surgery rather than before. We report a case of Amyand's hernia presenting as an incarcerated right inguinoscrotal hernia in a 56-year-old male. Emergency surgical exploration revealed an inflamed but non-perforated appendix within the hernia sac, confirming the diagnosis. Appendectomy and hernia repair were performed using the Bassini technique, with mesh avoided due to the suspicion of contamination. The case highlights the diagnostic challenges, intraoperative findings, and surgical management considerations of this rare clinical entity. Amyand's hernia is a rare and often unexpected intraoperative finding. Early recognition and appropriate surgical management, tailored to the condition of the appendix, are crucial to optimize outcomes.