Patient underwent surgery. Surgery confirms Amyand hernia and acutely inflamed appendix within right inguinal canal. Histopathological review of the appendix confirmed acute suppurative appendicitis.

Amyand hernias are an uncommon form of inguinal hernia and see in less than 1% of inguinal hernias. Appendicitis within an Amyand’s hernia is a very rare entity and is usually due to incarceration from edema at the internal ring or contraction of the abdominal muscles at the inguinal canal.