en MIS MIS Case Report Case Report Introduction: Amyand’s hernia – the presence of appendix within an inguinal hernia sac poses a diagnostic and therapeutic challenge in the acute setting. Case Presentation: We report the case of a female patient on long-term corticosteroid therapy that was found at laparoscopy to have an inflamed appendix incarcerated within a right inguinal hernia. A 62-year-old Caucasian female presented with a short history of suddenonset pain in the right groin. Her past medical history included polymyalgia rheumatic for which she had been treated over the past 4 years with oral prednisolone. The studied case was successfully treated through laparoscopic appendectomy and laparoscopic suturing of the deep inguinal ring. Discussion: This totally laparoscopic approach may be of use in cases where definitive treatment with mesh cannot be undertaken and the avoidance of large wounds is desirable. Hernia, Appendicitis, Laparoscopy 0 0 http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-268&slc_lang=en&sid=1 Omar Khan 10031947532846001035 10031947532846001035 Yes Department of Surgery, Queen Alexandra Hospital, Portsmouth, UK Stuart McInnes 10031947532846001036 10031947532846001036 No Department of Surgery, Queen Alexandra Hospital, Portsmouth, UK Amjad Parvaiz 10031947532846001037 10031947532846001037 No Department of Surgery, Queen Alexandra Hospital, Portsmouth, UK