Clinical Practice and Cases in Emergency Medicine

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.