Totally Laparoscopic Repair of an Acutely Inflammed Amyand’s Hernia

Introduction: amyand’s hernia – the presence of appendix within an inguinal hernia sac poses a diagnostic and therapeutic challenge in the acute setting. case presentation: we report the case of a female patient on long-term corticosteroid therapy that was found at laparoscopy to have an inflamed appendix incarcerated within a right inguinal hernia. a 62-year-old caucasian female presented with a short history of suddenonset pain in the right groin. her past medical history included polymyalgia rheumatic for which she had been treated over the past 4 years with oral prednisolone. the studied case was successfully treated through laparoscopic appendectomy and laparoscopic suturing of the deep inguinal ring. discussion: this totally laparoscopic approach may be of use in cases where definitive treatment with mesh cannot be undertaken and the avoidance of large wounds is desirable.