Amyand's Hernia with Acute Appendicitis in an Elderly Diabetic: A Rare Case Report

Abstract

Amyand’s hernia, defined as the presence of the appendix within an inguinal hernia sac, is a rare entity, particularly when complicated by acute appendicitis. We report the case of a 68-year-old diabetic male presenting with a painful, irreducible right inguinal swelling accompanied by fever and chills. Preoperative ultrasound suggested an incarcerated hernia, and intraoperative findings confirmed an inflamed vermiform appendix within the hernia sac. An appendectomy followed by Bassini’s tissue repair was performed, avoiding mesh to minimize infection risk in the context of diabetes. The patient recovered uneventfully following perioperative glycemic optimization and broad-spectrum antibiotic therapy. This case underscores the importance of considering Amyand’s hernia in elderly patients with complicated inguinal hernias and highlights tailored surgical management based on patient comorbidities and intraoperative findings.