Preoperative Diagnosis of Amyand Hernia in the Emergency Department with Point-of-care Ultrasound: A Case Report.

INTRODUCTION

Amyand hernia is a rare condition in which the appendix is found within an inguinal hernia sac, often mimicking incarcerated or strangulated hernias. Diagnosis is typically made intraoperatively, but increasing use of point-of-care ultrasound (POCUS) is enhancing preoperative recognition.

CASE REPORT: A 46-year-old male presented with a chronic, partially reducible inguinal hernia. Point-of-care ultrasound revealed a bowel-containing hernia with fluid. Computed tomography confirmed an inflamed appendix within the sac. Laparoscopic appendectomy and open hernia repair were performed without complications.

CONCLUSION

Early use of POCUS can expedite diagnosis of Amyand hernia, improving surgical outcomes through timely intervention.