amyands hernia: a report of two cases and review of the bibliography

aBstra Ct Background: Presence of the vermiform appendix in an inguinal hernia sac is an uncommon finding (1%) and is exceptionally rare if it is inflamed (0.13%). Clinically simulating incarcerated inguinal hernia and appropriate preoperative diagnosis is exceptional. We present two unusual cases of Amyand’s hernia and review of the literature. Clinical cases: Case 1. We present the case of a 78-year-old male with incarcerated right inguinal hernia. Diagnosis of Amyand’s hernia was made preoperatively by abdominal computed tomography. Case 2. We present the case of an 82-year-old female with symptoms of an incarcerated right femoral hernia that finally showed an Amyand’s hernia through a right inguinal hernia. Conclusions: Amyand’s hernia is a rare entity. Preoperative diagnosis is uncommon and should always be considered in the differential diagnosis in cases with clinical signs of incarcerated right inguinal hernia.