The finding of the appendix inside an hernial sac is called "Amyand hernia": The 
global incidence is 0.28 to 1%. Clinical manifestations are the presence of an 
inflamed inguinal mass, tense, hypersensitivensible, with variable size, 
non-reducible, and associated to abdominal pain, vomit and very rarely true 
appendicitis manifestations. Surgical treatment depends on the case presentation 
and the intraoperative findings. We present a case of a giant Amyand's hernia 
successfully treated with surgery by performing the hernia repair with Bassini 
technique and transherniotomy appendectomy.