 So, starting with the introduction, amylans hernia is a rare type of inguinal hernia in which the appendix is located within the hernia sac. This is seen in about 1% of all hernias in even more rare in adult population. Preoperative diagnosis is reported in only a handful of the cases previously. Delaying the diagnosis could lead to inflammation of the appendix and subsequent perforation and abscess formation. Surgical management can change when the surgeon finds the presence of an inflamed appendix within the hernia sac. Therefore, preoperative diagnosis of amylan hernia can be made with CT through which imaging will play an important role in surgical management. So, the objective of the study is to demonstrate a rare case of uncomplicated amylan hernia in a 62-year-old male. So, starting with the history of presenting illness, this 62-year-old male came to the emergency department with complaints of pain and swelling in the right inguinal region since one month, which was aggravated since last five to six days. He was a known case of chronic kidney disease. On clinical examination, they diagnosed him with indirect right in venous root of hernia. Since the pain was disproportionately more, they decided to go ahead with a CT scan before taking the patient for surgery. Since the patient was a known case of chronic kidney disease, they couldn't go ahead with the contrast study, only plain abdominal scan was done. So, these are axial images of the dominant pelvis. We can see the isle and sequo junction. This is the cecum. This is the isle and loom occupying the right isle region. As we go further down, we can see moderate degree fluid in the abdominal pelvis, which can be attributed to the kidney disease. And we can see the cecum occupying the right alex fossa. Moving further down, we can see appendix with interluminal air and acetic fluid going into the right inguinal hernia sac. Moving further down, we can appreciate the right inguinal hernia with the appendix. Last image, we can see the acetic fluid within the hernia sac. On coronal images, we can appreciate the findings clearly. This is the isle and sequo junction, and this is the appendix, which is seen going right into the right inguinal hernia sac. We also did ultrasound in this patient, in which we could clearly see the appendix going into the hernia sac. There were no signs of inflammation. Even the maximum diameter was coming out to be 4.5 mm only. We can also see one tiny appendicle is within it. So, coming to the discussion, inguinal hernia is the most common type of hernia. The contents of the hernia sac may vary from case to case. In most of the cases, the content is momentum, with or without small bubble loops. Aminah hernia, or presence of appendix within the inguinal hernia sac, is rare. The incidence of one person, for the presence of inflamed appendix within the hernia sac is very rare, with an incidence of 0.1%. There is an increased intensity to develop appendicitis if the neck of the sac is small, which could lead to compression of the appendix at the level of the neck. There is increased propensity, also if there is impaired vascular supply leading to infection. There are many different types of unusual hernias. The presence of mecal diverticulum within the hernia sac is called Litter's hernia. The presence of the portion of the bubble wall within the hernia sac is called Prister's hernia. And presence of appendix within the femoral canal is called Degarand goat hernia. Similar to our case, aminah hernia is usually found in the right side, is more common in males and more commonly present as indirect nidivinus goat hernia. Although aminah hernia would be mostly seen in the right side due to presence of an appendix on the right side, left side aminah hernias have also been reported in the past. This can occur due to gut malrotation, sinus inversions and a very mobile seqil. Aminah hernia is three times more likely to be seen in pediatric population than adult population with the presence of patent processes vaginalis. Aminah hernia is classified into four types based on the presence of pendicular inflammation, associated peritonitis or any other abnormal pathology, biolosanoc and basal. Surgical management depends upon the type of aminah hernia. Typhon is normal appendix in an inguinal hernia sac. Type 2 is acute appendicitis in an inguinal hernia without abnormal sepsis. Type 3 is acute appendicitis in an inguinal hernia with abdominal wall or peritoneal sepsis. And type 4 is acute appendicitis in an inguinal hernia with abnormal pathology. In type 1 we only do hernia reduction and mesh repair. In type 2 we do appendicectomy and prime repair of the hernia without mesh. In type 3 we do leprotomy, appendicectomy and prime repair without mesh. And type 4 manages type 1 to 3 and investigates pathology as needed. So imaging plays an important role in diagnosing aminah hernia. The ultrasound features of aminah hernia are present of a non-compressible dilated blind and in bowel loop with a luminal diameter of more than 7.2m within the inguinal canal with or without surrounding inflammation. With CT signs of aminah hernia are the presence of appendix within an inguinal canal without or with inflammation. Signs of the inflamed appendix are increased luminal diameter with associated periapendicill fat stranding and fluid collection, associated secal thickness and presence of appendicolith in few cases. The preoperative diagnosis of aminah hernia has contributed to not only a handful of the cases, most of the time it is diagnosed intraoperatively. The reason for this is preoperative imaging investigations are not routinely requested by the surgeons, but preoperative CT can give valuable information regarding the contents of the hernia cycle. Various complications of aminah hernia have been reported in the literature. Examples of such cases previously reported being abdominal abscess, secondary to a perforated appendix, perforated appendix with a periapendicill abscess, incarcerated after dieting one hernia containing a perforated appendix along with an inflamed right testicle and somatic clot. Therefore, the surgeons should be aware of such complications. Preoperative CT scans could be done routinely to rule out complications and help in further management. So, concluding, preoperative CT abdomen pelvis can diagnose aminah hernia with certainty to rule out complications and guide the surgeon in planning the operation. These are the references which I used. Thank you.