{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:12Z","timestamp":1756305612681,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,29]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A man in his 60s presented to the emergency department with generalised abdominal pain and distention associated with the inability to pass stool or gas. The patient had undergone a laparoscopic partial right nephrectomy due to renal cell carcinoma a year ago. The workup diagnosis suggested an incarcerated incisional hernia. Surgical treatment was proposed. Intraoperatively, we found an ileocecal appendix with a macroscopically gangrenous appearance inside the hernia sac. An appendectomy was performed, and the hernia defect was closed using a tension repair. Amyand\u2019s hernia, a rare condition, is classically described as an inguinal hernia containing the appendix, but it can also refer to an incisional hernia containing the appendix. Amyand\u2019s hernia classification depends on the localisation of the hernia sac and its contents, including the presence or absence of appendix inflammation.<\/jats:p>\n               <jats:p>This case report described a patient with Amyand\u2019s hernia, which was diagnosed intraoperatively. The treatment was also discussed including open appendectomy and primary repair of the defect using a tension repair approach.<\/jats:p>","DOI":"10.1136\/bcr-2023-257085","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T09:55:18Z","timestamp":1703325318000},"page":"e257085","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute appendicitis within an incisional hernia: a type of Amyand\u2019s hernia"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0364-0760","authenticated-orcid":false,"given":"Ines Oliveira","family":"Pires","sequence":"first","affiliation":[{"name":"General Surgery, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Tam","sequence":"additional","affiliation":[{"name":"Urology, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00edsa Cabral","family":"Moniz","sequence":"additional","affiliation":[{"name":"General Surgery, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Nascimento","sequence":"additional","affiliation":[{"name":"General Surgery, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Abrantes Marques","sequence":"additional","affiliation":[{"name":"Radiology, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"key":"2025082707020221000_16.12.e257085.1","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ijscr.2018.04.034","article-title":"Amyand\u2019s hernia: a case report and review of the literature","volume":"47","author":"Shaban","year":"2018","journal-title":"Int J Sur Case Rep"},{"key":"2025082707020221000_16.12.e257085.2","article-title":"Amyand\u2019s hernia: a rare surgical pathology of the appendix","volume":"10","author":"Bhatti","year":"2018","journal-title":"Cureus"},{"key":"2025082707020221000_16.12.e257085.3","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s12262-013-0834-3","article-title":"Amyand\u2019s hernia: a case of an unusual inguinal herniace","volume":"75","author":"Mishra","year":"2013","journal-title":"Indian J Surg"},{"key":"2025082707020221000_16.12.e257085.4","doi-asserted-by":"crossref","DOI":"10.1186\/s40792-019-0600-2","article-title":"Amyand hernia repair with mesh and appendectomy","volume":"5","author":"Holmes","year":"2019","journal-title":"Surg Case Rep"},{"key":"2025082707020221000_16.12.e257085.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.07.043"},{"key":"2025082707020221000_16.12.e257085.6","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-228725","article-title":"Amyand\u2019s hernia: acute appendicitis and abscess in the inguinal canal","volume":"12","author":"Junttila","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082707020221000_16.12.e257085.7","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.ijscr.2018.08.064","article-title":"Incarcerated Amyand\u2019s hernia: a case report","volume":"51","author":"Perrotti","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082707020221000_16.12.e257085.8","first-page":"321","article-title":"\u201c\"Amyand's hernia\" - 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