AUTHOR=Tcheutchoua Soh Guillaume , Faye Papa Mamadou , Nde Armel Franck Tene , Ndong Abdourahmane , Diallo Thierno Amadou Telly , Jaouahdou Nedra , Diop Abdoul Kharim , Tendeng Jacques Noel , Thiam Ousmane , Ma Nyemb Philippe Manyacka , Toure Alpha Oumar , Konate Ibrahima , Cisse Mamadou 
  
TITLE=Strangulated Inguinal Hernia Containing Caecum and Inflamed Appendix: Two Case Reports and Review of the Literature to Guide Management
  
JOURNAL=Journal of Abdominal Wall Surgery
  
VOLUME=Volume 4 - 2025
  
YEAR=2026
  
URL=https://www.frontierspartnerships.org/journals/journal-of-abdominal-wall-surgery/articles/10.3389/jaws.2025.15273
  
DOI=10.3389/jaws.2025.15273
  
ISSN=2813-2092
  
ABSTRACT=IntroductionAmyand’s hernia is defined by the presence of the appendix in the sac of an inguinal hernia. Its treatment poses two problems: the risk of infection associated with the presence of the appendix and the choice of surgical technique, which must reduce the risk of infection while minimising the risk of recurrence. In this article, we present two patients treated for a strangulated inguinal hernia containing the appendix and caecum and review the literature for evidence that may guide the choice of treatment.Case PresentationWe present two male patients, aged 37 and 44, admitted to our department for a strangulated right inguinal hernia. During surgical exploration, the hernia sacs of both patients contained the appendix and caecum, which were inflamed without necrosis. Both patients underwent appendectomy with protection of the surgical site and instillation of povidone-iodine into the surgical site to reduce the risk of infection. Both were treated using the Lichtenstein procedure. The postoperative course was uneventful in one patient, while the other had oedema of the cord, which responded well to enzymatic anti-inflammatory treatment made of on trypsin, pancreatic ribonuclease and chymotrypsinogen. Examination of the surgical specimens confirmed appendicitis.ConclusionMost Amyand hernias are diagnosed during the treatment of a complicated hernia. There are no specific signs, hence the importance of systematically opening the hernia sac when treating a complicated hernia. During surgery, the surgeon must choose an appropriate technique based on the risk of infection and perform a routine appendectomy, followed by an examination of the surgical specimen. The role of hernioplasty according to the Desarda procedure could be evaluated for this indication. The Losanoff-Basson classification should be constantly updated as treatment procedures and available resources evolve.