# Complicated Appendicitis Associated With Appendiceal Mucinous Neoplasm Within Amyand’s Hernia in a Patient With Previous Hernia Repair: A Case Report and Literature Review

## TL;DR

A rare case of Amyand's hernia with appendiceal tumor and cecal perforation is reported in a patient with a history of hernia repair.

## Contribution

This is the first reported case combining Amyand's hernia, appendiceal tumor, and cecal perforation following a previous hernia repair.

## Key findings

- The patient presented with symptoms of a complicated inguinal hernia and was found to have Amyand's hernia with an appendiceal tumor.
- The case highlights the importance of high clinical suspicion for accurate preoperative diagnosis of this rare condition.
- Surgical treatment confirmed cecal perforation associated with the appendiceal tumor.

## Abstract

Amyand's hernia is defined as the presence of the appendix within an inguinal hernia sac, which is often associated with appendicitis. The association of an Amyand's hernia with an appendicular tumor has been reported in very few cases. This case report presents a 67-year-old female patient who came to the emergency department with symptoms indicative of a complicated inguinal hernia. Following surgical treatment, the diagnosis of Amyand's hernia with cecal perforation associated with an appendicular tumor was established in the context of a previous laparoscopic femoral hernia repair. The combination of these conditions has not been previously reported. The presentation of this case provides data on the clinical presentation, diagnosis, and treatment of this rare pathology that requires a high clinical suspicion to achieve a preoperative diagnosis.