{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:41:27Z","timestamp":1792291287599,"version":"4.4.0"},"reference-count":13,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,15]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Amyand\u2019s hernia, a rare condition where the appendix is contained within an inguinal hernia sac, occurs in ~1% of inguinal hernias, with &lt;0.1% involving acute appendicitis. Though often diagnosed intraoperatively, imaging advancements like CT and ultrasound have improved preoperative detection. We present a case of a male in his 70s with a right-sided direct inguinal hernia, diagnosed via ultrasound. Intraoperatively, a non-inflamed appendix was found in the hernial sac. Despite the absence of appendicitis, an appendectomy was performed due to age, comorbidities and potential future risk. Hernia repair was completed using ProGrip self-fixating mesh and the Bassini technique. Postoperative recovery was uneventful, with mild discomfort and no wound complications. This case underscores the ongoing debate regarding prophylactic appendectomy in non-inflamed Amyand\u2019s hernias and supports mesh repair when inflammation is absent. Individualised surgical decisions based on patient-specific risk factors remain key in managing this rare condition.<\/jats:p>","DOI":"10.1136\/bcr-2025-267871","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T19:00:38Z","timestamp":1768590038000},"page":"e267871","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative diagnosis of Amyand\u2019s hernia: inguinal herniorrhaphy, appendicectomy and orchidectomy"],"prefix":"10.1136","volume":"19","author":[{"given":"Hamish","family":"Rickward","sequence":"first","affiliation":[{"name":"School of Medicine, Griffith University, Sunshine Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun Amod","family":"Karnik","sequence":"additional","affiliation":[{"name":"School of Medicine, Griffith University, Sunshine Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thushara","family":"Dissanayake","sequence":"additional","affiliation":[{"name":"General Surgery, Sunshine Coast Hospital and Health Service, Sunshine Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"2026011611001499000_19.1.e267871.1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.889873"},{"key":"2026011611001499000_19.1.e267871.2","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1007\/s00268-021-05983-y","article-title":"Revisiting Amyand\u2019s Hernia: A 20-Year Systematic Review","volume":"45","author":"Manatakis","year":"2021","journal-title":"World J Surg"},{"key":"2026011611001499000_19.1.e267871.3","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ijscr.2019.04.049","article-title":"A total laparoscopic treatment strategy for Amyand\u2019s hernia complicated with appendicitis: A case report","volume":"59","author":"Han","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2026011611001499000_19.1.e267871.4","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s11605-010-1386-5","article-title":"Laparoscopic appendectomy for Amyand\u2019s hernia: a modern approach to a historic diagnosis","volume":"15","author":"Mullinax","year":"2011","journal-title":"J Gastrointest Surg"},{"key":"2026011611001499000_19.1.e267871.5","doi-asserted-by":"crossref","unstructured":"Kose E , Sisik A , Hasbahceci M . 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Diagnostics (Basel) 2023;13. doi:10.3390\/diagnostics13233534","DOI":"10.3390\/diagnostics13233534"},{"key":"2026011611001499000_19.1.e267871.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.07.043"},{"key":"2026011611001499000_19.1.e267871.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-008-0331-y"},{"key":"2026011611001499000_19.1.e267871.9","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/000313481307900439","article-title":"Amyand\u2019s hernia: really a rare condition?","volume":"79","author":"Saylam","year":"2013","journal-title":"Am Surg"},{"key":"2026011611001499000_19.1.e267871.10","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":"2026011611001499000_19.1.e267871.11","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30101-4"},{"key":"2026011611001499000_19.1.e267871.12","doi-asserted-by":"crossref","unstructured":"Choi CC-M , Taylor D , Tokhi A , et al . Amyand\u2019s hernia with concurrent appendicitis: A case of interval laparoscopic herniorrhaphy and literature review. 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