DOI: 10.36347/sjmcr.2014.v02i08.023

Pages: 574-577

Presence of vermiform appendix (non-inflamed or inflamed) in inguinal hernia is called Amyand's hernia in honour to surgeon C. Amyand who published the first case of perforated appendicitis within inguinal hernia in a boy caused by ingested pin. As such amyand’s hernia is a rare entity and amyand’s hernia with inflamed appendix causing intestinal obstruction is very rare. Diagnosis can be difficult due to its rarity, and the presentation is similar to that of any inguinal hernia, with tenderness, erythema, and inability to reduce contents, if incarcerated. When appendicitis occurs, it can too mimic testicular inflammation or torsion, and so preoperative diagnosis is very rare. Hernia repair and appendectomy are the treatment of choice. Antibiotic therapy is associated, in order to prevent complications, such as intra-abdominal abscess. Here we report a case of obstructed inguinal hernia with scrotal wall cellulitis found to have inflamed appendix as content of hernia sac.