Amyand hernia with acute appendicitis: management considerations

2021 ◽  
Author(s):  
Edward Forrest ◽  
Calvin Fletcher ◽  
Melissa Budge ◽  
James C. Lee ◽  
Simon Grodski ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Amyand Hernia

scholarly journals 827 Acute Appendicitis in An Amyand Hernia – A Case Report and Literature Review

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Ahmad ◽  
N Fazili ◽  
T P Chang ◽  
H Abdalla ◽  
J Watfah ◽  
...  
Keyword(s):  
Literature Review ◽  
Acute Appendicitis ◽  
Neuroendocrine Tumour ◽  
Imaging Techniques ◽  
White Cell Count ◽  
Reactive Protein ◽  
Inguinoscrotal Hernia ◽  
Mesh Terms ◽  
Amyand Hernia ◽  
Operative Findings

Abstract Introduction An Amyand Hernia (AH) is the presence of an Appendix within an Inguinal Hernia. We present here our clinical management of acute appendicitis in an AH and subsequent literature review. A 73-year-old male patient presented with a two-day history of right sided irreducible inguinoscrotal hernia with tender swelling on standing and walking. This was not associated with symptoms of bowel obstruction or fevers. Blood investigations revealed a raised C-Reactive Protein of 129m/l and White Cell Count of 15x10^9/L. A Computed Tomography scan of the Abdomen and Pelvis revealed a right sided inguinoscrotal hernia arising lateral to the inferior epigastric vessels, containing an inflamed appendix and omental fat. The patient underwent an emergency open hernia repair with mesh and, considering that the appendix base was intra-abdominal, also underwent a laparoscopic appendicectomy. Method We conducted a literature review on Pubmed and Medline using the MeSH terms ‘Amyand Hernia’ AND ‘Appendicitis’ from 1970 to 2020. Results We longlisted 179 articles. Of these, 117 were excluded, as they were either paediatric cases, not relevant or mentioned in discussions. Finally, 62 relevant articles were included in the review. Conclusions Acute Appendicitis in Amyand Hernias has an incidence of 0.07-0.13%. Most cases remain as incidental findings however, increased use of imaging techniques has allowed accurate diagnoses and attempts at classifications. There is also weak association with Situs Inversus and atypical appendiceal tumours including adenocarcinoma, carcinoid and neuroendocrine tumour. Their management varies according to the extent of inflammation, radiological and intra-operative findings.

scholarly journals Amyand hernia with acute appendicitis and carcinoide tumor

2020 ◽  
Author(s):  
Manuel Antonio Grez Ibáñez ◽  
Heyssel Carmona Alvarado ◽  
Javiera Andrea Díaz Zapata
Keyword(s):  
Acute Appendicitis ◽  
Amyand Hernia

scholarly journals AMYAND HERNIA: A RARE SURGICAL VARIATION

2021 ◽  
Vol 71 (1) ◽  
pp. 367-69
Author(s):  
Ghufran Ahmed ◽  
Imran Ashraf ◽  
Muhammad Ali Muazzam ◽  
Muhammad Shoaib ◽  
Muhammad Farooq Shahid ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Clinical Presentation ◽  
Inguinal Canal ◽  
Amyand’S Hernia ◽  
Inguinoscrotal Hernia ◽  
Amyand Hernia

Amyand’s hernia is an inguinal hernia with trapped appendix; its frequency is approximately 1%. Acute appendicitis is a rare clinical presentation (0.1%) of Amyand’s hernia. It was first described by Claudius Amyand in 1735. We report a patient of Amyand’s hernia, three years of age, presented with right inguinoscrotal hernia. Right side groin discomfort was present. Herniotomy was performed revealing anon-inflamed appendix within the inguinal canal for which a classic appendectomy was done.

scholarly journals Incarcerated recurrent inguinal hernia containing an acute appendicitis (Amyand hernia): an extremely rare surgical situation

2017 ◽  
Vol 3 ◽  
pp. 702-704 ◽  
Author(s):  
Georgios Velimezis ◽  
Nikolaos Vassos ◽  
Georgios Kapogiannatos ◽  
Dimitrios Koronakis ◽  
Evangelos Perrakis ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Recurrent Inguinal Hernia ◽  
Amyand Hernia

scholarly journals Left Sided Amyand’s Hernia with Sliding Component

2013 ◽  
Vol 52 (189) ◽  
pp. 285-287 ◽  
Author(s):  
Ashis Pun ◽  
Roshan Khatri
Keyword(s):  
Clinical Practice ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Disease Condition ◽  
Amyand Hernia ◽  
Hernial Repair

The eponym ‘Amyand hernia’ coined in recognition of Claudius Amyand, the first surgeon to successfully perform appendectomy in a hernia sac containing appendix, refers to the vermiform appendix within inguinal hernia. Here, we present a rare case, of Amyand’s hernia in an 18 month-old boy who was brought with an inguino-scortal swelling which later on exploration was left sided Amyand’s hernia with sliding component. Amyand’s hernia is not very often seen in the clinical practice and its pre-operative diagnosis is very difficult hence awareness of this disease condition is essential for preoperative suspicion and even diagnosis of the condition. Keywords: Amyand’s hernia; acute appendicitis; hernial repair.

Amyand Hernia: What Lies Beneath–A Proposed Classification Scheme to Determine Management

2007 ◽  
Vol 73 (12) ◽  
pp. 1288-1290 ◽  
Author(s):  
Julian E. Losanoff ◽  
Marc D. Basson
Keyword(s):  
Colon Cancer ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Common Sense ◽  
Classification Scheme ◽  
Hernia Sac ◽  
Advanced Colon Cancer ◽  
Amyand Hernia ◽  
High Index Of Suspicion ◽  
Individualized Management

Acute appendicitis in a hernia sac occurs exceptionally. An 80-year-old male patient underwent emergency surgery for an incarcerated right inguinal hernia found to contain a gangrenous appendix. His brief improvement after an emergency herniotomy with appendectomy was followed by intestinal obstruction caused by advanced colon cancer. The unique features and individualized management of the four published types of Amyand hernia are reviewed. Rather than simply being an anatomical curiosity, Amyand hernias require individualized attention to decide how to manage both the appendix and the hernia. Clinical scrutiny, a high index of suspicion for surgical comorbidities, and a common sense approach may improve outcomes.

Amyand Hernia with Incarcerated Acute Appendicitis

2018 ◽  
Vol 84 (9) ◽  
pp. 439-440
Author(s):  
Emily K. Lenart ◽  
Kaitlyn M. Rountree ◽  
Akash R. Sheth
Keyword(s):  
Acute Appendicitis ◽  
Amyand Hernia
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