Type:
Educational Exhibit
Keywords:
Abdomen, Colon, Gastrointestinal tract, CT, Ultrasound, Surgery, Hernia
Authors:
W. Awal, J. De Groot, T. Singh, P. Caleo
DOI:
10.26044/ranzcr2023/C-45
Background
An Amyand hernia is a rare phenomenon occurring when the appendix is found within an inguinal hernia sac. It was first described in 1735 by Dr Claudius Amyand, King George II’s surgeon, when he found a perforated appendix inside an inguinal hernia sac in an 11-year-old boy during an appendicectomy.[1] Amyand hernias occur in less than 1% of inguinal hernias, most often in males and paediatric patients.[1,2] Most are right-sided but left-sided Amyand hernias have been reported in the literature in the context of intestinal malrotation, a mobile cecum or situs inversus totalis.[3] For most patients, this condition is an incidental finding found either intraoperatively or on CT imaging. In approximately 0.1% of cases, patients may develop complications such as appendicitis, perforation or abscesses, with symptoms mimicking an incarcerated inguinal hernia.[1,2] This poster will highlight a unique case of an Amyand hernia that was associated with perforated appendicitis and an appendiceal neoplasm.