Amyand hernia with acute appendicitis

Case contributed by Ammar Ashraf

Presentation

Known case of epilepsy, primary infertility and supraventricular tachycardia, presented with colicky right lower quadrant pain associated with anorexia and dysuria for one day. There is also history of right inguinal hernia repair a few years ago.

Patient Data

Age: 30 years
Gender: Male

No abnormal bowel dilatation, air fluid levels or pneumoperitoneum is seen. Evidence of previous bilateral varicocele embolization is noted. 

Recurrent right inguinal hernia. Enlarged appendix measuring about 16 mm in diameter with marked peri-appendiceal fat stranding, denoting acute appendicitis, is seen within this hernia. Evidence of bilateral varicocele embolization is noted.

Case Discussion

Recurrent right inguinal hernia containing enlarged/inflamed appendix; these features are consistent with Amyand hernia

Following CT scan, the patient underwent an uneventful appendectomy and inguinal hernia repair.

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