A rare presentation of caviar appendix in an Amyand's hernia

Amyand's hernia is a rare condition where the appendix is found within the sac of an inguinal hernia. The occurrence of an appendicular neoplasm within such hernia is even rarer. We highlight the case of a 70-year-old male who presented with an appendicular neoplasm masquerading as a strangulated inguinal hernia. The rarity and heterogenic clinico-pathological presentation of an appendiceal neoplasm renders it potentially lethal in the hands of an unassuming hernia surgeon.