Amyand’S Hernia

Amyand hernia is described presence of appendices vermiformis in inguinal hernia sac. The incidence of Amyand hernia is approximately 1% of all hernias. There are many treatment procedures of Amyand’s hernia. Since Amyand hernia is extremely rare and there are many controversial surgical managements, we wanted to share our case. We have encountered a Amyand hernia case during right inguinal hernia repair surgery. Treatment method and outcome were evaluated. Twentyone-year-old male patient was suffering from right groin pain and swelling for almost one year. He was operated with the diagnosis of right inguinal hernia, electively. Intraoperative exploration revealed Amyand hernia, appendectomy and hernia repair were performed using polypropylene patch with same incision. The patient’s postoperative course remained without complication and after 3 days he was discharged. Amyand hernia which especially difficult to diagnose preoperatively, particularly in terms of therapeutic approach, the debate continues, is extremely rare entity. There is no current consensus about appendectomy and using patch. We think that; regardless of the appendix is inflamed or noninflamed, appendectomy should be done. If the appendix is inflamed or perforated, prosthetic materials shouldn’t be used and while repairing hernia, anatomic repair or biological materials resistant to infection should be used.