Using ultrasound or CT scan correct preoperative diagnosis can be made. In our case,

it is possible that the injury during the football game might have induced perforation of the vermiform appendix by the foreign body (domestic pin) in it swallowed three weeks ago. Consent Written informed consent was obtained from the patient’s parent for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. References 1. Amyand C: Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. Phil Trans Royal Soc 1736, 39:329. 2. Hutchinson R: selleck chemicals Amyand’s hernia. J R Soc Med 1993,86(2):104–104.PubMed 3. Williams GR: Presidential address: a history of appendicitis. Annals of surgery 1983,197(5):495–506.CrossRefPubMed 4. Ryan WJ: Hernia of the vermiform appendix. TPCA-1 Ann Surg 1937, 106:135–139.CrossRef 5. Srouji M, Buck BE: Neonatal appendicitis: ischemic infarction in incarcerated inguinal hernia. J Pediatr small molecule library screening Surg 1978, 13:177–179.CrossRefPubMed 6. Apostolidis S, Papadopoulos V, Michalopoulos A, Paramythiotis D, Harlaftis N: Amyand’s Hernia: A case report and review of the literature. The Internet Journal of Surgery 2005, 6:1. 7. Leopoldo C, Francisco M, David B, Sofia V: Amyand’s Hernia: Case report with review of literature. The Internet Journal of Surgery 2007, 12:2. 8. Fowler

RH: Foreign body appendicitis. With especial reference to the domestic pin; an analysis of sixty-three cases. Ann Surg 1912,56(3):427–436.CrossRefPubMed 9. Meinke AK: Review article: appendicitis in groin hernias. J Gastrointest Surg 2007, 11:1368–1372.CrossRefPubMed 10. Sharma H, Gupta A, Shekhawat NS, Memon B, Memon

MA: Amyand’s hernia: a report of 18 consecutive patients over a 15-year period. Hernia 2007,11(1):31–35.CrossRefPubMed 11. Tycast JF, Kumpf AL, Schwartz TL, Colne CE: Amyand’s hernia: a case report describing laparoscopic repair in a pediatric patient. J Pediatr Surg 2008,43(11):2112–4.CrossRefPubMed Casein kinase 1 12. Kajmakci A, Akilliogllu I, Akkoyum I, Guven S, Ozdemir A, Gulen S: Amyand’s hernia: a series of 30 cases in children. Hernia 2009,13(6):609–612.CrossRef 13. Constantine S: Computed tomography appearances of Amyand hernia. J Comput Assist Tomogr 2009,33(3):359–62.CrossRefPubMed Competing interests The authors declare that they have no competing interests. Authors’ contributions SL – performed surgery, designed, made literature searching and was a major contributor in writing the manuscript. NH- was a major contributor in designing and writing the manuscript. BK – was major contributor in searching literature and preparing the photos. HJ – has contributed in literature searching and in writing manuscript. AH – has contributed in designing and writing the manuscript. All authors read and approved the final manuscript.