Amyand´s Hernia – Vermiform Appendix in an Inguinal Hernia: A Rare Finding
Dr. Prakash Kumar Sahoo,
SB-66, Aditya Enclave, Kanan Vihar, Phase II, Patia, Bhubaneswar-751031, Odisha, India.
A variety of surprises may spring up when the sac is opened in an inguinal hernia. Omentum, bowel diverticulum, ovary, fallopian tube, urinary bladder, large bowel, Meckelâ€™s diverticulum or foreign bodies being the varied contents of a hernia sac. The presence of vermiform appendix in the hernia sac in an inguinal hernia is a rare finding. This condition has been named as â€śAmyandâ€™s Herniaâ€ť in the honour of an English surgeon, Claudius Amyand. A diagnosis preoperatively is difficult and is most often made intraoperatively. We report here a 52-year-old patient who presented with acute intestinal obstruction due to an obstructed right sided inguinal hernia. A diagnosis of Amyandâ€™s hernia was confirmed when on exploration appendix along with a part of ascending colon was found to be content of the sac along with a few loops of small bowel. The contents were reduced after checking the viability and Bassiniâ€™s repair was done. The patient had an uneventful postoperative period.