Amyand's Hernia - Dilemma for Appendicectomy

Inguinal hernia is a common surgical condition worldwide and involves protrusion of an organ or its fascia through the abdominal wall.The hernia contents may include omentum, colon, small bowel, or its mesentery, while less common contents such as the appendix, ovary, or fallopian tube can also be present.Amyand's hernia, in which the appendix is found within the sac, is one such rare form.We present a case of a 48-year-old male with a long-standing history of reducible right inguinal hernia who presented with acute onset right inguinal scrotal pain requiring emergency open right hernioplasty.All preoperative investigations were unremarkable.Intraoperatively, the hernia contained the caecum, appendix, and terminal ileum.These structures were contused.The appendix was not inflamed and was not removed.The operation was completed with a simple right hernioplasty without appendicectomy.The patient was well postoperatively and was discharged on postoperative day one without any morbidity.