Journal of Emergencies, Trauma, and Shock
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Year : 2012  |  Volume : 5  |  Issue : 4  |  Page : 344-346

Incarcerated recurrent Amyand's hernia

1 Department of General Surgery, National Naval Medical Center, Bethesda, MD, USA
2 Department of Surgery, Walter Reed Army Medical Center, Washington, DC, USA

Correspondence Address:
Benjamin Quartey
Department of General Surgery, National Naval Medical Center, Bethesda, MD
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.102407

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Amyand's hernia is a rarity and a recurrent case is extremely rare. A 71-year-old male with a previous history of right inguinal hernia repair presented to the emergency department with a 1-day history of pain in the right groin. A physical examination revealed a nonreducible right inguinal hernia. A computed tomography scan showed a 1.3-cm appendix with surrounding inflammation within a right inguinal hernia. An emergent right groin exploration revealed an incarcerated and injected non-perforated appendix and an indirect hernia. Appendectomy was performed through the groin incision, and the indirect hernia defect was repaired with a biological mesh (Flex-HD). We hereby present this unique case - the first reported case of recurrent Amyand's hernia and a literature review of this anatomical curiosity.

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