title: Incarcerated recurrent Amyand's hernia.
abstract: Amyand's hernia is a rarity and a recurrent case is extremely rare. A 71-year-old male with a previous history of right inguinal hernia repair presented to the emergency department with a 1-day history of pain in the right groin. A physical examination revealed a nonreducible right inguinal hernia. A computed tomography scan showed a 1.3-cm appendix with surrounding inflammation within a right inguinal hernia. An emergent right groin exploration revealed an incarcerated and injected non-perforated appendix and an indirect hernia. Appendectomy was performed through the groin incision, and the indirect hernia defect was repaired with a biological mesh (Flex-HD). We hereby present this unique case - the first reported case of recurrent Amyand's hernia and a literature review of this anatomical curiosity.
authors.affiliation: Department of General Surgery, National Naval Medical Center, Bethesda, MD, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Quartey
authors.forename: Obinna
authors.initials: O
authors.lastname: Ugochukwu
authors.forename: Reed
authors.initials: R
authors.lastname: Kuehn
authors.forename: Karen
authors.initials: K
authors.lastname: Ospina