structure was found (Fig. 1). The isolation of this structure revealed to be the appendix. Reduction of the strangulated small bowel, after careful assessment of its viability, was performed, as well as appendectomy. Hernia repair was performed avoiding mesh placement because of the potentially contaminated field. Pathology showed mild inflammation with ischaemic changes of the tip of the appendix. His post-operative course was uneventful. The Amyand's hernia was described in an 11-year-old boy who presented with inflamed appendix in inguinal hernia sac perforated by a pin. In treatment of this case, a British surgeon, Claudius Amyand, in 1735 performed appendiceal resection and the case was published in Philosophical Transactions of the Royal Society of London. 1,2 Dr Salomone Di Saverio, consultant surgeon, performed the surgical operation.