BACKGROUND: Amyand's hernia is an inguinal hernia containing vermiform appendix. 
We report a case of this rare condition, diagnostic findings, and management 
considerations. A short review and history of Amyand's hernia is presented as 
well.
METHODS: A literature search from Medline was done, and the published articles 
were reviewed. A case of Amyand's hernia, which was recently managed by the 
authors, was studied and the data reviewed.
RESULTS: Diagnosis of the Amyand's hernia is usually made intraoperatively. The 
majority of the existing literature recommends doing open or laparoscopic 
appendectomy with open repair of the inguinal hernia, although some authors 
advise mesh repair of the hernia if the appendix is normal.
CONCLUSION: Amyand's hernia can be a challenge for the surgeon. We recommend 
laparoscopic appendectomy and open repair of the inguinal hernia without using 
mesh.