<![CDATA[Amyand’s hernia is a type of hernia which determined by the presence of appendix in hernia sac. This type of hernia is rare, with the incidence about 1%. To diagnose this type of hernia is quite challenging, especially when there’s no complication such as adhesions, incarceration, strangulation or perforation. Thus incidental finding of Amyand’s hernia during operation is common[i]. Adhesions of bowel are band of scar tissue of bowel serosa which formed secondary to surgery, infection, trauma or radiation. Adhesion can be said as a normal healing process but it can lead to abdominal pain or even total bowel obstruction called Adhesive Small Bowel Obstruction (ASBO)[ii].We report a 72 years old male Amyand’s hernia with ileoileal dan ileocaecal adhesion. The patient then treated with open inguinal approach surgery. Although the adhesion didn’t lead to complication of the hernia sac content, but it became quite challenging when we try to reduce caecum and ileum through inner inguinal ring. ]]>
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