Work

Amyand’s Hernia in a Low-Resource Setting: Surgical Challenges and Experience – A Case Report

Year: 2025

Type: article

Abstract: Background Amyand’s hernia is a rare condition in which the appendix is found within the hernia sac, with or without signs of appendicitis. Its management depends on the condition of the appendix and the availability of surgical resources. Case Presentation We present the case of a 45-year-old sub–Saharan African man, a farmer who presented with a 10-year history of intermittent right inguinoscrotal swelling. Intraoperatively, the appendix was incidentally found within the hernia sac, without signs of inflammation. An appendectomy was performed, followed by primary tissue repair. He had an uneventful postoperative recovery. Conclusion Amyand's hernia, though uncommon, is a critical differential diagnosis in inguinal hernias. This case highlights the challenges faced by surgeons in resource-limited settings, who must balance evidence-based surgical principles with practical constraints. Our experience emphasizes the importance of meticulous inspection of hernia sac contents before intervention and tailored operative approaches, considering patient-specific factors and available resources, to optimize outcomes.

Source: SN Comprehensive Clinical Medicine

DOI: 10.1007/s42399-025-02136-3

Authors: Chabeja Achangwa, Fabrice Zobel Lekeumo Cheuyem, Stanislas Ketum Ateh

Institutions: University of Kent, Ministry of Public Health, Université de Yaoundé I, Johns Hopkins University

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,090