Amyand's hernia

An 84-year-old man presented with a 5-day history of swelling and discomfort in the right inguinal region, which was followed by 24 hours of generalized abdominal pain, nausea, and vomiting. Computed tomographic imaging of the abdomen revealed an inflamed appendix within a right-sided indirect inguinal hernia (shown in a reconstructed coronal image). The edematous appendix measured 2.1 cm in diameter, contained an appendicolith (arrow), and was accompanied by a fluid collection extending from the inguinal canal into the scrotum. An inguinal hernia sac containing a vermiform appendix is known as Amyand's hernia. Claudius Amyand, sergeant-surgeon to King George II of England, is credited by some with performing the first documented successful appendectomy, in which he removed a perforated appendix from a right inguinal hernia sac in 1735. Our patient was initially treated with antibiotics and drainage of the right scrotal fluid collection. Five days later, he underwent successful appendectomy and hernia repair