Amyand's Hernia Presenting With Acute Enlargement of a Chronic Right Inguinal Hernia: A Case Report.

Amyand's hernia is a rare condition characterized by the presence of the vermiform appendix within an inguinal hernia sac, which may or may not be inflamed. We present the case of a 43-year-old male with a 3-year history of right inguinal hernia who presented to the emergency department with acute enlargement of the hernia sac and associated discomfort. A contrast-enhanced computed tomography scan of the abdomen and pelvis revealed a right inguinal hernia containing an inflamed appendix, consistent with acute appendicitis, with periappendiceal stranding but no abscess formation. The patient denied recent trauma or bowel habit changes, though he reported chronic constipation. This report highlights the importance of imaging in diagnosing rare hernia contents and discusses the management controversies associated with Amyand's hernia.