Amyand Hernia Repair and Negative Pressure Wound Therapy

Background : An Amyand hernia is an inguinal hernia containing the appendix vermiformis. This rare type of hernia was first described by Claudius Amyand in 1735. Case Presentation : A 71-year-old man with a known right inguinal hernia presented at the hospital emergency department with symptoms and signs of incarceration. The right inguinal hernia was swollen, irreducible, hyperthermic, but without erythema. The patient was scheduled for emergency surgery. Intraoperatively an Amyand’s hernia with an inflamed and perforated appendix was found. An appendectomy and open hernia repair according to Shouldice were performed. A vacuum suction drain for negative pressure wound therapy was placed. Conclusion : Appendicitis within an Amyand’s hernia is a rare occurrence. The appearance of the appendix vermiformis influences the type of surgery. This is a rare report of an Amyand’s hernia which was treated with appendectomy, Shouldice, and negative pressure wound therapy.