AIM: The aim of the study is to indicate the Amyand’s hernia as a possible complication during surgery for hernia repair performed in emergency CASE REPORT: A case Amyand’s hernia complicated by the presence of acute gangrenous appendicitis perforated at the base is reported. DISCUSSION: Amyand’s hernia is an hernia which is the vermiform appendix inside. This condition may remain asymptomatic and behave like a normal inguinal hernia or can simulate strangulated hernia when the hernia contains inflamed appendix. CONCLUSION: Acute appendicitis in an incarcerated inguinal hernia is a rare event. The preoperative diagnosis is very difficult because it simulates the behavior of a strangulated inguinal hernia. The treatment depends on the severity of appendicitis. The appendicitis status influences the type of surgery and the type of access.