, Volume 19, Issue 6, pp 987–990 | Cite as

Amyand’s hernia: a case series with critics of role of appendectomy

  • A. Michalinos
  • D. Moris
  • S. Vernadakis
Case Report


Amyand’s hernia is an inguinal hernia that contains vermiform appendix in its sac. It consists 1 % of all inguinal hernias while appendicitis in an Amyand’s hernia accounts for 0.1 % of all appendicitis cases. Its clinical image is identical to that of an incarcerated or perforated inguinal hernia. Diagnosis is usually established intraoperatively. Hernioplasty (with or without mesh repair and with or without appendectomy) is the treatment of choice. According to Losannof and Basson’s criteria, performance of appendectomy shall depend on vermiform appendix’s inflammation status. In this case series, authors present three patients who had to undergo prophylactic appendectomy because of medical conditions, unrelated to appendix’s inflammation status thus escaping from therapeutic frame set by Losanoff and Basson’s criteria.


Amyand’s hernia Inguinal hernia Appendicitis Appendectomy Mesh repair 


Conflict of interest

AM declares no conflicts of interest. DM declares no conflicts of interest. SV declares no conflicts of interest.


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Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  1. 1.1st Department of SurgeryAthens University School of Medicine, “Laikon” University HospitalAthensGreece
  2. 2.Department of General, Visceral and Transplantation SurgeryUniversity Hospital EssenEssenGermany
  3. 3.Department of General and Transplantation Surgery“Laikon” General UniversityAthensGreece

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