DOI: 10.21276/sasjs.2019.5.1.9

Pages: 36-39

The presence of an appendix in a hernia sac (Amyand's hernia) is a rare entity and the incidence of having an appendix in the hernias sac is less than 1%. Usually, the appendix has been shown to be a part of a sliding hernia and it may be adherent to the sac, most commonly to the mesoappendix rather than the appendix itself and it makes up all or some part of the postero-medial wall of a hernias sac. The clinical presentation varies, depending on the extent of inflammation in the hernia sac and the presence or absence of peritoneal contamination. The presence of vermiform appendix, whether normal or inflamed in the inguinal hernia, is referred to as Amyand's hernia. In the available literature if there is a type 2 Amyand’s Hernia then ideal treatment would be appendectomy through hernia followed by primary repair of hernia (no mesh).But in our case we have performed appendectomy of inflamed appendix through the hernia followed by Lichtenstein tension free mesh repair because of high chances of recurrence in the future. Patient has no signs/symptoms of surgical site infection