DOI: 10.36347/sjmcr.2015.v03i08.028

Pages: 740-742

Amyand’s hernia term given to a rare condition of founding an appendix either normal or inflamed as a content in an inguinal hernia named after the surgeon who has reported firstly this interesting entity Claudius amyand back in 1735 Amyand’s hernia patients usually comes as inguinal hernia with features of strangulation and therefore majority of cases are misdiagnosed and Amyand’s hernia is mostly diagnosed on operation theater table in fact only few cases has been reported in literature . The management of this rare entity is still debatable and varies patients to patients depending on operative finding and co-morbidity. A 35 year old gentle man presented with a painful swelling in right inguinal region from last 2 days. Surgical exploration was performed under spinal anesthesia. We opened swollen hernia sac and we found the inflamed vermiform appendix. Appendectomy and high ligation of hernia sac was performed. The chances of an individual to suffer from acute appendicitis is about 8 % in his life and that of non-inflamed appendix in inguinal hernia is about 1%. Management of Amyand’s hernia is a challenge due to mimicking other condition sign and symptoms and due to lack of definitive preoperative diagnostic imaging module. We concludes that Amyand’s hernia is a rare entity and is a diagnostic challenge for radiologist, can be proved fatal in presence of abdominal sepsis , CT scan can be proved a mile stone in diagnosis and management is still a point of debate.