Case Report
 
The appendix and the inguinal canal: Amyand's hernia a case report
Shariful Islam1, Devin Hosein1, Vinoo Bheem2, Vijay Naraynsingh3
1Senior House Officer, Surgery, San Fernando Teaching Hospital, Trinidad & Tobago.
2Head of the Department of Surgery (Ag), San Fernando Teaching Hospital, Trinidad & Tobago.
3Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.

doi:10.5348/ijcri-2015104-CR-10565

Address correspondence to:
Dr. Shariful Islam
MBBS, DM (Surgery)
Registrar in General Surgery
San Fernando Teaching Hospital
Trinidad & Tobago

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How to cite this article
Islam S, Hosein D, Bheem V, Naraynsingh V. The appendix and the inguinal canal: Amyand's hernia a case report. Int J Case Rep Images 2015;6(10):636–639.


Abstract
Introduction: Inguinal hernia repairs are one of the most common operations performed by the general surgeon. Occasionally, an emergency repair must be performed in the setting of painful incarceration, strangulation or obstruction. It is, therefore, essential that sound knowledge of the anatomy of the inguinal canal and variants of the inguinal hernia are required. One such variant is an Amyand's hernia, a rare inguinal hernia defined by the presence of the appendix in the inguinal canal.
Case Report: We report a 52-year-old male who presented to our institution with a painful incarcerated right inguinal hernia who subsequently underwent emergency repair. A Type 1 Amyand's hernia was discovered on operation, an appendectomy and a Lichtenstein hernia repair were then performed. Due to the rarity of this hernia there are no standard guidelines for repair with respect to performing appendectomy or the use of mesh post appendectomy.
Conclusion: The aim of this report is to assist the surgeon in making an informed decision on treatment of this rarity by review of current literature.

Keywords: Inguinal hernia, Amyand's hernia, mesh repair


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Author Contributions
Shariful Islam – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Devin Hosein – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vinoo Bheem – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vijay Naraynsingh – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Shariful Islam et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.