AMYAND'S HERNIA, UNVEILING A UNIQUE PRESENTATION IN HERNIA SURGERY: A CASE REPORT

Abstract

Amyand’s hernia, characterized by the appendix within a hernial sac, is rare. We present a unique case in a 66-year-old deaf, non-verbal male with bilateral groin swelling initially suggestive of bilateral inguinal hernias. Intraoperatively, we discovered a right-sided Amyand’s hernia concurrent with bilateral pantaloon hernias. Treatment involved bilateral inguinal hernioplasty and appendectomy, tailored to the patient’s needs. The postoperative period was uneventful. Our report significantly enriches Amyand’s hernia literature, addressing diagnostic and treatment complexities. Our case is noteworthy due to the exceptional occurrence of bilateral hernias in a deaf-mute Amyand’s hernia patient, posing ethical challenges during consent and necessitating the involvement of the patient’s elder son. Documenting these intricate ethical and surgical issues in this rare case provides valuable insights for surgeons encountering similar scenarios, thereby advancing the field.