Amyand's hernia is difficult to diagnose pre-operatively and its presence in recurrent hernia has only been reported once before. The management of Amyand's hernia is not straightforward in most of the cases. Inflamed and perforated appendix needs to be removed. Delayed mesh repair is a better surgical option in perforated appendix cases.

Bilateral femoral hernias are less common in men than in women and rare in young adults. Only one case of a bilateral femoral hernia in a young man has been reported in the literature before. Three main theories have been postulated for femoral hernias. The theory that they are an acquired disease is the most accepted due to the common occurrence of such hernias in multiparous women but the theory lacks enough evidence. We report two cases in young men. Anatomical variations in the femoral canal could be the primary aetiological factor in these patients. A unilateral femoral hernia in young men with acquired aetiological factors requires a clinical examination of the opposite side.