Complicated Amyand's hernia.

Abstract

Summary: Amyand's hernia is a rare condition characterised by the presence of the appendix within an inguinal hernia sac. We describe a case of a complicated right-sided Amyand's hernia, where imaging demonstrated a ruptured hernia containing a perforated appendix with an appendicolith and a rim-enhancing scrotal abscess, necessitating urgent surgical intervention. This case highlights the importance of computed tomography (CT) imaging in evaluating atypical groin sepsis, the value of multidisciplinary management, and the critical role of timely surgery. It further emphasises the need for individualised operative strategies when addressing complicated Amyand's hernia with perforation and associated soft-tissue infection.