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Appendiceal Abscess Within an Amyand’s Hernia: A Unique Case Encountered During Laparoscopic Appendicectomy

Year: 2025

Type: article

Abstract: The presence of the appendix within a hernia sac is known as Amyand's hernia. Amyand's hernia is frequently diagnosed intraoperatively, as preoperative diagnosis is exceedingly difficult. Concomitant acute appendicitis is a rare complication of Amyand's hernia. We present a case of an 18-year-old male who was admitted to the emergency department with acute appendicitis. A laparoscopic appendicectomy was performed, during which it was noted that a portion of the appendix had herniated through the internal inguinal ring. The appendix was removed from the inguinal ring. An abscess cavity was washed and shown to have no further contents. An appendicectomy was completed without repairing the inguinal hernia. This case represents a rare instance of an Amyand's hernia in which acute appendicitis was the preoperative diagnosis.

Source: Cureus

DOI: 10.7759/cureus.90710

Authors: Hesham Aowad, Brian Sheridan, Gisella Salerno

Institutions: Wexham Park Hospital, Frimley Health NHS Foundation Trust, American University of the Caribbean School of Medicine

Language: English

Topic: Appendicitis Diagnosis and Management

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413452328