A patient with an apparent appendicitis in Amyand hernia was found to have an unexpected pathology.

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Why is it important?

Computed tomography (CT) findings of acute appendicitis are nonspecific and that differential diagnoses should be considered when there is an atypical clinical presentation. In this case, the subacute presentation over three weeks and the absence of fever, leukocytosis, or gastrointestinal symptoms were unusual for acute appendicitis.