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Case Reports in Gastrointestinal Medicine
Volume 2015, Article ID 629127, 6 pages
Case Report

Amyand’s Hernia: Rare Presentation of a Common Ailment

1Department of Surgery, Northern Railway Central Hospital, Basant Lane, New Delhi 110055, India
2Department of Radiology, ESI PGIMSR, Basaidarapur, Ring Road, New Delhi 110015, India
3GI and HPB Surgery, Dr. BL Kapoor Memorial Hospital, Pusa Road, New Delhi 110005, India

Received 7 August 2015; Accepted 21 September 2015

Academic Editor: I. Michael Leitman

Copyright © 2015 Sanjeev Singhal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Inguinal hernia with vermiform appendix as content is known as Amyand’s hernia. It is a rare entity but we encountered four cases within six months. A 52-year-old female had high grade fever and evidence of inflammatory pathology involving the ileocaecal region. She was initially managed conservatively and subsequently underwent exploratory laparatomy. The appendix was perforated and herniating in the inguinal canal. Appendectomy was done with herniorrhaphy without mesh placement. A 74-year-old male with bilateral inguinal hernia, of which, the right side was more symptomatic, underwent open exploration. Operative findings revealed a lipoma of the sac and a normal appearing appendix as content. Contents were reduced without appendectomy and mesh hernioplasty was performed. A 63-year-old male with an obstructed right sided hernia underwent emergency inguinal exploration which revealed edematous caecum and appendix as content without any inflammation. Contents were reduced without any resection. Herniorrhaphy was performed without mesh placement. A 66-year-old male with an uncomplicated right inguinal hernia underwent elective surgery. The sac revealed an appendix with adhesions at the neck. Contents were reduced after adhesiolysis and hernioplasty was performed with mesh placement. Emphasis is made to the rarity of disease, variation in presentation, and difference in treatment modalities depending upon the state of appendix.