Two-stage treatment of concomitant complicated right amyand’s hernia and incarcerated left inguinal hernia: Case report and review of the literature

Amyand ́s hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its diagnosis is very difficult in the pre-operative period. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms of acute appendicitis. We describe an unusual case of a concomitant complicated right Amyand ́s hernia and an incarcerated left inguinoescrotal hernia treated in two stages: First, a laparoscopic appendectomy was done in order to control the systemic sepsis and, in a second step, a bilateral hernioplasty was performed. To our knowledge, this is the first report of this type of management approach. Maria Tudela Lerma*; Enrique Mercader Cidoncha; Fernando Turégano Fuentes Gregorio Marañon University General Hospital, Doctor Esquerdo 46, 28007, Madrid Spain