HighlightsPresentation of a rare case of an Amyand’s hernia containing acute appendicitis and a perforated cecum.Diagnosis was intraoperative and an ileocecectomy followed by Bassini hernia repair produced a favorable patient outcome.Amyand’s hernias can contain a diverse range of features and presentations that can complicate diagnosis and treatment.Our case underscores the importance of considering an Amyand’s and individualizing treatment based on operative findings.
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