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Journal of Case Reports
Amyands Hernia: Report of Two Cases

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Suman Kharkwal, Sameer, Arindam Mukherjee
From the Department of General Surgery, ESI Postgraduate Institute of Medical Sciences and Research, New Delhi-110015, India.
Corresponding Author:
Dr. Suman Kharkwal
Email: drsumankharkwal@gmail.com
Received: 12-MAY-2014 Accepted: 30-JUN-2014 Published Online: 30-JUL-2014
DOI: http://dx.doi.org/10.17659/01.2014.0069
Abstract
Amyand’s hernia, defined as an inguinal hernia with appendix as the content of hernial sac, is a exceedingly rare disease, reported in 1% of cases of inguinal hernia repair. The appendix can be normal or inflamed and acute appendicitis is seen in 0.13% of cases. We hereby report two cases of Amyands hernia which were treated at ESI hospital PGIMSR, Delhi highlighting the fact that rather than simply being an anatomical curiosity, Amyands hernias require individualized attention to decide how to manage both the appendix and the hernia. First case was admitted in emergency as strangulated hernia. Inflamed appendix was noted intraoperatively as hernial content  for which appendectomy and herniotomy was done. Our second case was worked up as routine case of right congenital hernia and after seeing the content of hernia sac as appendix, appendix was pushed back and herniotomy was done.
Keywords : Inguinal Hernia, Appendix, Appendicitis, Herniorrhaphy, Appendectomy.
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