LAPAROSCOPIC REPAIR OF AMYAND'S HERNIA TYPE 2 WITH APPENDECTOMY AND INGUINAL HERNIOPLASTY. A CASE REPORT danigonzalez1925@gmail.com

PE027

LAPAROSCOPIC REPAIR OF AMYAND'S HERNIA TYPE 2 WITH APPENDECTOMY AND INGUINAL HERNIOPLASTY. A CASE REPORT

4

Colombia

Poster with Discussion

Amyand’s hernia is a rare subtype of inguinal hernia characterized by the presence of the vermiform appendix within the hernia sac, with or without associated inflammation. It accounts for less than 1% of all inguinal hernias, and acute appendicitis is observed in approximately 0.13% of cases. The optimal surgical approach is still debated, particularly regarding the use of prosthetic mesh in the presence of inflammation.

We present the case of a 46-year-old male who arrives to the ER for right inguinal pain and a palpable mass. Clinical assessment and imaging were consistent with an incarcerated inguinal hernia. Diagnostic laparoscopy revealed a type 2 Amyand’s hernia, with an inflamed but non-perforated appendix within the hernia sac.

A laparoscopic appendectomy was performed, followed by right inguinal hernia repair using polypropylene mesh. The surgical field remained clean, allowing for the safe use of prosthetic material. In post operative care the patient receaved antibiotics and demonstrated favorable clinical progression. He was discharged, oral antibiotics were prescribed to complete a five-day course. He remained asymptomatic during follow-up, with no evidence of recurrence or infection

This case supports the safety and effectiveness of laparoscopic management in type 2 Amyand’s hernia. The minimally invasive approach provides diagnostic precision and reduces the risk of surgical site infection. In selected cases, prosthetic mesh can be safely used for definitive hernia repair when the operative field is clean. Given the rarity of this condition, detailed case reports continue to be important for informing clinical decision-making.