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Preoperative imaging was inconclusive regarding the hernia sac contents and the nature of the pelvic mass. Intraoperatively, the hernia sac contained the caecum, appendix, Meckel\u2019s diverticulum (MD) and terminal ileum\u2014confirming the simultaneous presence of Amyand and Littre hernias. Additionally, a left\u2010sided retroperitoneal solid\u2010cystic mass was identified and excised. This case underscores the diagnostic difficulties posed by complex hernias and highlighted the surgical challenges involved in managing coexisting intra\u2010abdominal pathologies. Histopathological examination revealed a mesenteric cyst with infarcted tissue and an incidental diagnosis of mixed cellularity classical Hodgkin lymphoma (MCCHL) from the lymph node, adding a haematological dimension to this already rare surgical case.<\/jats:p>","DOI":"10.1155\/cris\/1130953","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:28:07Z","timestamp":1782451687000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Concurrent Amyand and Littre Hernias With Incidental Hodgkin Lymphoma: A Diagnostic and Surgical Challenge"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7665-0956","authenticated-orcid":false,"given":"Jia Chyi","family":"Tay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5122-1061","authenticated-orcid":false,"given":"Woon Teen","family":"Sia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siti Shakinah","family":"Sobri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8665-6785","authenticated-orcid":false,"given":"Li Jie","family":"Thee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.3389\/jaws.2023.11246"},{"key":"e_1_2_11_2_2","volume-title":"Hernia Updates and Approaches","author":"Ferranti F.","year":"2023"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.889873"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.109182"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.910196"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/629127"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.18295\/2075-0528.1370"},{"key":"e_1_2_11_8_2","first-page":"480","article-title":"Left Sided Amyand\u2019s Hernia","volume":"20","author":"Malik K. 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