CASE REPORT PEER REVIEWED | OPEN ACCESS www.edoriumjournals.com International Journal of Case Reports and Images (IJCRI) International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties. Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.com The appendix and the inguinal canal: Amyand’s hernia a case report Shariful Islam, Devin Hosein, Vinoo Bheem, Vijay Naraynsingh ABSTRACT Introduction: Inguinal hernia repairs are one of the most common operations performed by the general surgeon. Occasionally, an emergency repair must be performed in the setting of painful incarceration, strangulation or obstruction. It is, therefore, essential that sound knowledge of the anatomy of the inguinal canal and variants of the inguinal hernia are required. One such variant is an Amyand’s hernia, a rare inguinal hernia defned by the presence of the appendix in the inguinal canal. Case Report: We report a 52-year-old male who presented to our institution with a painful incarcerated right inguinal hernia who subsequently underwent emergency repair. A Type 1 Amyand’s hernia was discovered on operation, an appendectomy and a Lichtenstein hernia repair were then performed. Due to the rarity of this hernia there are no standard guidelines for repair with respect to performing appendectomy or the use of mesh post appendectomy. Conclusion: The aim of this report is to assist the surgeon in making an informed decision on treatment of this rarity by review of current literature. (This page in not part of the published article.)