Case Report
Amyand’s Hernia: Rare Presentation of a Common Ailment
Table 1
Classification of Amyand’s hernias and their plan of management [
6].
| Classification | Description | Surgical management |
| Type I | Normal appendix in inguinal hernia | Hernia reduction; mesh repair; appendectomy in young patients | Type II | Acute appendicitis within an inguinal hernia and no abdominal sepsis | Appendectomy through hernia; primary repair of hernia; no mesh | Type III | Acute appendicitis within an inguinal hernia or the abdominal wall or peritoneal sepsis | Laparotomy; appendectomy; primary repair of hernia; no mesh | Type IV | Acute appendicitis within an inguinal hernia with related or unrelated abdominal pathology |
Management as detailed above for hernia type I–III and treat the second pathology as appropriate |
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