Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand's hernia.
BACKGROUND
Inguinal hernias containing the appendix are described as Amyand's hernias. The surgical approach to these types of hernias is dependent on the type present and associated intra-operative findings.


METHODS
We present a case of complicated type IV Amyand's hernia, which was managed though combined abdominal and inguinal approach. Though the patient had a prolonged post-operative course due to pulmonary embolism, he progressed to full recovery.


CONCLUSIONS
The different grades of Amyand's hernia are repaired in varying ways, including laparoscopic and open approaches with or without mesh. The type of repair must be tailored to the patient and disease process.


CONCLUSIONS
Primary repair of a perforated Amyand's hernia provides adequate strength with decreased risk of infection due to synthetic material.
University of Kansas Medical Center, Department of Surgery, MS 2005, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States. Electronic address: epebaugh@yahoo.com.
Eric Paul
EP
Ebaugh
University of Kansas Medical Center, Department of Surgery, MS 2005, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States. Electronic address: khessel@kumc.edu.
Kara
K
Hessel
University of Kansas Medical Center, Department of Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States. Electronic address: kudobi@kumc.edu.
Kahdi
K
Udobi
Amyand’s hernia; Appendicitis; Claudius amyand; Groin abscess; Inguinal hernia; Spermatic cord