{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:21:28Z","timestamp":1789035688839,"version":"build-2803163510"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Amyand\u2019s hernia, an uncommon condition characterized by the presence of the appendix within an inguinal hernial sac (&lt;\u20091% incidence), poses diagnostic and therapeutic challenges. Often it is an intraoperative finding, with almost no clinical symptoms.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>This is a case of an Indian male in his early 80 years, diagnosed with bilateral direct inguinal hernias, one of which contained a noninflamed appendix. Given the thinned out abdominal wall, dense adhesions, and no demarcation between layers, the decision to proceed with a modified Bassini\u2019s with Lichtenstein mesh repair without appendectomy, guided by intraoperative findings and the Losanoff\u2013Basson Classification, reflecting the complex interplay between individual patient factors and intraoperative considerations. The patient did well during his postoperative stay and was in good health on a 45\u00a0day follow-up, with no complaints suggestive of recurrence or obstruction.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This case underscores the importance of tailored management strategies and highlights, especially in cases where recurrence and postoperative wall integrity are in question, the ongoing need for research to refine treatment guidelines for Amyand's hernia, especially in cases of appendicitis not diagnosed preoperatively.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s13256-024-05015-y","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T22:11:24Z","timestamp":1736806284000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Uncomplicated Amyand\u2019s hernia in a setting of abdominal wall insufficiency: a case report"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1775-5138","authenticated-orcid":false,"given":"Vasishtha Avadhani","family":"Upadrasta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Koul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikrant Singh","family":"Chauhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"5015_CR1","first-page":"19","volume-title":"Epidemiolog\u00eda de las hernias de la pared abdominal. En: Hernias de la pared abdominal. Tratamiento actual. 3rd Ed.","author":"JC Mayagoitia-Gonz\u00e1lez","year":"2015","unstructured":"Mayagoitia-Gonz\u00e1lez JC. Epidemiolog\u00eda de las hernias de la pared abdominal. En: Hernias de la pared abdominal. Tratamiento actual. 3rd Ed. M\u00e9xico: Editorial Alfil; 2015. p. 19\u201329."},{"key":"5015_CR2","doi-asserted-by":"publisher","first-page":"135","DOI":"10.4236\/ojepi.2013.33020","volume":"3","author":"M Sangwan","year":"2013","unstructured":"Sangwan M, Sangwan V, Garg M, Mahendirutta P, Garg U. Abdominal wall hernia in population in India\u2014Is spectrum changing? 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