INCARCERATED AMYAND HERNIA ASSOCIATED WITH ACUTE APPENDICITIS AND INCIDENTAL FINDING OF SERRATED ADENOMA

Objectives:

Introduction: Amyand hernia's are rare as they represent 0.5% of all hernias. An Amyand hernia that is discovered due to acute appendicitis is even rarer, accounting for approximately 0.11% of cases1. Furthermore, appendiceal neoplasms are infrequently encountered in only 0.7–1.7% of appendectomy specimens. Here we present a case of an 85 year-old man presenting with acute appendicitis located within an amyand hernia as well as a serrated adenoma on final pathology.

Presentation of case: This is a case report of an 85 year-old male that presented to the emergency department with a three-month history of bilateral testicular pain that acutely worsened and became localized to the right lower quadrant. He was found to have appendicitis on CT scan with the appendix located in a right inguinal hernia. He underwent laparoscopic appendectomy without repair of the hernia defect. On pathologic examination, the appendix was found to contain a serrated adenoma and with negative margins. An amyand hernia itself is a rare finding and this case is unique in the patient's presentation with acute appendicitis with a serrated adenoma on final pathology.

Discussion/

Conclusion: An Amyand hernia is a rare finding alone, additional findings of serrated adenoma on final pathology makes this case incredibly rare. This case is particularly rare in the patient's presentation with having acute appendicitis in addition to serrated adenoma on final pathologic examination.

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