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