Amyand’s Hernia: A Serendipitous Diagnosis

Table 1

Classification of Amyand's hernias after Losanoff and Basson [3, 4].

Classification	Description	Surgical management
Type 1	Normal appendix within an inguinal hernia	Hernia reduction, mesh repair, appendectomy in young patients
Type 2	Acute appendicitis within an inguinal hernia, no abdominal sepsis	Appendectomy through hernia, primary endogenous repair of hernia, no mesh
Type 3	Acute appendicitis within an inguinal hernia, abdominal wall or peritoneal sepsis	Laparotomy, appendectomy, primary repair of hernia, no mesh
Type 4	Acute appendicitis within an inguinal hernia, related or unrelated abdominal pathology	Manage as types 1 to 3 hernia, investigate or treat second pathology as appropriate