Key Clinical MessageA trapped appendix within the inguinal hernia sac is described as Amyand hernia, which is reported as extremely rare as less than 1% of inguinal hernias in literature. Physical examination raises suspicion to evaluate the patient by imaging modalities. Different types of Amyands hernia based on content and complications have been proposed; hence, Radiologist and Surgeon should aware about them to determine precise management and approach.Ultrasound findings could help the correct diagnosis and determine the type of Amyand hernia since the treatment and surgical approach would differ.Keywords: Inguinal hernia, Ultrasound, appendicitis, Amyand hernia