Emergency imaging of a rare cause of inguinal swelling: Amyand's hernia with perforated appendicitis and abscess-cutaneous fistula - a case report and review of the literature

BMJ Case Rep. 2022 Jul 6;15(7):e250436. doi: 10.1136/bcr-2022-250436.

Abstract

Inguinal hernias containing the appendix are rare, but even more exceptional is the occurrence of complicated appendicitis within the hernial sac with a cutaneous fistula. We report the case of a man in his 50s presenting to the emergency department with a right-sided erythematous and painful inguinal swelling secreting seropurulent material. A perforated appendix within an inguinal hernia complicated by an appendico-cutaneous fistula was diagnosed.

Keywords: Emergency medicine; Radiology.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications
  • Abscess / diagnostic imaging
  • Appendicitis* / complications
  • Appendicitis* / diagnostic imaging
  • Appendicitis* / surgery
  • Appendix* / diagnostic imaging
  • Cutaneous Fistula* / complications
  • Cutaneous Fistula* / etiology
  • Hernia, Inguinal* / diagnosis
  • Hernia, Inguinal* / diagnostic imaging
  • Humans
  • Male