A 4-year-old boy presents with a right inguinoscrotal swelling. At elective herniotomy, the vermiform appendix is found lying free within the patent processus vaginalis sac, appearing normal. This condition is termed:

• A Amyand's hernia ✓
• B Littre's hernia
• C Garengeot's hernia
• D De Garengeot variant of Richter's hernia

Explanation

An inguinal hernia containing the vermiform appendix is an Amyand's hernia. If the appendix is normal, it may simply be returned with the sac and herniotomy performed; if inflamed or perforated, appendicectomy through the sac with mesh avoidance is advised. Littre's hernia contains a Meckel's diverticulum, while Garengeot's hernia is the femoral counterpart containing the appendix, so option C describes the wrong anatomical site.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.