Peer-reviewed veterinary case report
Two-step laparoscopic surgery for Amyand's hernia with groin abscess
By Shirakawa Y et al.·2026·Department of Surgery, Japan·View original on Europe PMC →
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Original publication title: Two-stage management of Amyand's hernia with extensive inguinal abscess: laparoscopic appendiceal transection followed by laparoscopic hernia repair: a case report.
Plain-English summary
A 78-year-old man had a bulge in his right groin and was found to have a rare condition called Amyand's hernia, where the appendix is trapped in a hernia and can become inflamed or infected. He had an abscess, which is a collection of pus, and needed emergency surgery to remove the inflamed appendix and drain the abscess. After recovering for about ten days in the hospital, he returned several months later for a second surgery to repair the hernia and remove any remaining parts of the appendix. The treatment was successful, and he was discharged without complications.
Abstract
<h4>Introduction</h4>Amyand's hernia is a rare pathological condition characterized by the presence of the appendix in an inguinal hernia sac. In some cases, it is accompanied by perforated appendicitis, posing a challenging clinical scenario in which the surgeon must address both appendicitis with abdominal sepsis and hernia repair.<h4>Case presentation</h4>A 78-year-old man presented to our hospital with a bulge in the right groin and was diagnosed with Amyand's hernia with an extensive inguinal abscess on computed tomography. The patient underwent emergency laparoscopic appendiceal transection and groin percutaneous abscess drainage for perforated appendicitis within an inguinal hernia with a groin abscess. The patient was uneventfully discharged on postoperative day 10. Several months later, transabdominal preperitoneal repair with mesh for bilateral inguinal hernia and removal of the scarred residual appendix were performed as second-stage management.<h4>Discussion</h4>Infection control should be prioritized in cases of perforated appendicitis with abscess formation. In cases with no or minimal inflammation, concurrent hernia repair with mesh and appendectomy may be feasible. However, considering the risk of infection, elective hernia repair with a mesh is the preferred approach after inflammation subsides.<h4>Conclusion</h4>We highlighted the importance of individualized surgical management of Amyand's hernia with severe inflammatory pathology.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41837080