scholarly journals An Appendiceal Carcinoid Tumor within an Amyand’s Hernia Mimicking an Incarcerated Inguinal Hernia

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Gregorios Christodoulidis ◽  
Konstantinos Perivoliotis ◽  
Alexandros Diamantis ◽  
Dionysios Dimas ◽  
Michael Spyridakis ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Carcinoid Tumor ◽  
Laboratory Tests ◽  
Emergency Operation ◽  
Right Hemicolectomy ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Appendiceal Carcinoid ◽  
Serum Crp

Introduction.We report the case of an appendiceal carcinoid tumor within an Amyand’s hernia, presenting as an incarcerated right inguinal hernia.Presentation of Case.A 52-year-old male presented in the emergency department due to a persistent right inguinal pain. Clinical examination revealed a tender right groin mass. Laboratory tests revealed leukocytosis and an increased serum CRP. Under the diagnosis of an incarcerated right inguinal hernia, an emergency operation was taken. Intraoperatively, an inflamed appendix and a part of the cecum were found in the hernia sac. The operation was completed with an appendectomy and a modified Bassini hernia repair. Histological examination revealed a carcinoid tumor, resulting in the performance of a right hemicolectomy.Discussion.Amyand’s hernia is estimated to account for 0.4% to 0.6% of all inguinal hernias. Coexistence of an Amyand’s hernia and a neoplasia is quite rare. Carcinoids are the most frequent tumors found in the appendix, with the size of the primary tumor to be considered the most important prognostic factor and the basis upon which the operative plan is decided.Conclusion.A malignancy of the appendix should always be in the differential diagnosis of a right inguinal mass, in order to provide optimum surgical treatment.

scholarly journals Appendiceal Carcinoid Tumor Contained in a Large Inguinal Hernia: A Case Report

2021 ◽  
Vol 105 (1-3) ◽  
pp. 118-121
Author(s):  
Meghan Aabo ◽  
Sarah Walcott-Sapp ◽  
Hayley Standage ◽  
Blayne Standage
Keyword(s):  
Inguinal Hernia ◽  
Carcinoid Tumor ◽  
Open Repair ◽  
Ascending Colon ◽  
Incarcerated Inguinal Hernia ◽  
Appendiceal Carcinoid ◽  
First Case ◽  
General Surgeons ◽  
Histopathologic Analysis ◽  
Appendiceal Inflammation

We report the first case of a clinically diagnosed incidental appendiceal carcinoid tumor contained in an incarcerated inguinal hernia without inflammation of the appendix. A 67-year-old white man underwent elective open repair of an incarcerated right inguinal hernia containing small bowel, cecum, appendix, and ascending colon. He was found to have a grossly abnormal mass at the tip of his appendix. Appendectomy was performed, and histopathologic analysis confirmed the presence and adequate resection of a neuroendocrine tumor. It is important for general surgeons to be aware that unusual presentations of appendiceal tumors may not be associated with appendiceal inflammation or related symptoms.

scholarly journals COMPLICATED AMYAND’S HERNIA IN A NEONATE MIMICKING INGUINAL ABSCESS

2019 ◽  
Keyword(s):  
Inguinal Hernia ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Normal Appendix ◽  
Lower Quadrant ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Swelling ◽  
Right Lower Quadrant ◽  
Separate Incision

Amyand’s hernia is a rare form of hernia in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 12 days-old neonate with features of inguinal abscess referred to us with a tender irreducible right inguino-scrotal swelling. On examination, there was tender swelling right inguino-scrotal region with abdominal wall edema extending up to right lower quadrant. Surgical exploration showed long appendix with a gangrenous 1/3 of distal appendix, peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was performed. Amyand’s hernia presentation is variable: from a reducible inguinal hernia containing a normal appendix, to acute abdomen due to perforation of acute appendicitis secondary to incarceration. Only imaging can verify the contents of an incarcerated inguinal hernia. Surgical approach varies depending upon findings. In our case, we used separate incision for appendectomy because of a very long appendix and high lying caecum in right hypochondrium with difficulty to bring base of appendix down for ligation.

scholarly journals Amyand’s Hernia: A Challenging Diagnosis

2021 ◽  
pp. 57
Author(s):  
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Surgical Repair ◽  
Incidental Finding ◽  
Amyand’S Hernia ◽  
Open Approach ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Amyand Hernia ◽  
Outpatient Settings

Background: Hernia repair surgery is a procedure frequently performed today, both in elective or outpatient settings as in an emergency context. Hernia is defined as a condition in which part of an organ or its fascia protruded through the wall of the cavity containing it. Quite often in the emergency department incarcerated hernias are found, and in most cases, the content of the hernia sac is the omentum or small intestine. In very rare instances, the appendix can be found inside the hernia sac. When the appendix is found in the hernia sac it is called an “Amyand Hernia”, regardless if it is inflamed or not, with the incidence of appendicitis in an inguinal hernia being 0.07-0.13%. Preoperative diagnosis of an Amyand hernia is a clinical and often a Radiological challenge, being in many cases misdiagnosed as an incarcerated inguinal hernia. Usually, the diagnosis of Amyand’s hernia is an incidental finding during surgical repair of an inguinal hernia. There is still no real consensus on the ideal surgical treatment approach for this pathology. Clinical Case: A 72-year-old man, with a known reducible right inguinal hernia awaiting surgical repair presented to the Emergency Department with acute abdominal pain, nausea, vomiting and a painful right groin mass. He was diagnosed with an incarcerated right inguinal hernia and taken to the operating room for emergency surgery. An open approach was performed with a transverse right inguinal incision and the inflamed appendix was identified inside the inguinal sac. The patient was submitted to an appendectomy and subsequently, using the Bassini technique, had the incarcerated inguinal hernia corrected. Conclusion: Preoperative clinical and imaging diagnosis of amyand´s hernia is rare and difficult. More prospective studies should be carried out in order to standardize the treatment of this pathology. The diagnosis of Amyand´s hernia should be in the surgeon’s mind especially in the case of a strangulated inguinal hernia, as shown in this case.

scholarly journals Amyand’s Hernia Complicated by Omental Infarct Presenting as Acute Scrotum: Report of a Case and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Reza Khorramirouz ◽  
Amin Bagheri ◽  
Alireza Aalam Sahebpour ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Emergency Room ◽  
Amyand’S Hernia ◽  
Acute Scrotum ◽  
Review Of The Literature ◽  
Strangulated Hernia ◽  
Hernia Sac ◽  
Perforated Appendix

Inguinal hernia with acute appendicitis known as Amyand’s hernia is uncommon. It may clinically manifest as acute scrotum, inguinal lymphadenitis, or strangulated hernia. The presentation of Amyand’s hernia with acute scrotum has been rarely described. Also, the manifestation of infarcted omentum in the inguinal hernia has been described in one case previously. However, the coexistence of perforated appendix with infarcted omentum in the hernia sac which manifests acute scrotum has not been described previously. Herein, we described a case of a 5-year-old boy, admitted with right tense, painful, and erythematous scrotum in the emergency room. The diagnosis of herniated appendicitis was performed preoperatively by ultrasound. Moreover, the ischemic omentum was confirmed during surgery.

Appendiceal fibroma in an Amyand’s hernia mimicking a supernumerary testis: a case report

2020 ◽  
Vol 50 (4) ◽  
pp. 380-383
Author(s):  
Nasir Oyelowo ◽  
Aliyu O Halima ◽  
Daniyan Muhammed ◽  
Adekanbi A Ibrahim ◽  
Ochogwu Peter ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Unusual Presentation ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Rare Finding ◽  
Scrotal Mass

Amyand’s hernia describes the presence of an appendix within the sac of an inguinal hernia. Both an inflamed and non-inflamed appendix within the hernia sac have been reported in the literature with various recommendations on approach to management. However, a tumour of the appendix is a rare finding in an Amyand’s hernia. We hereby report the unusual presentation of a fibroma of the appendix complicating the rare Amyand’s hernia in a young man with a scrotal mass.

scholarly journals Perforated necrotic appendix in Amyand’s hernia treated with appendicectomy and simple suture repair of the inguinal hernia

2019 ◽  
Vol 12 (11) ◽  
pp. e231765 ◽  
Author(s):  
Muhamamd Isfandyar Khan Malik ◽  
Joshua Abbas ◽  
Paul Shuttleworth ◽  
Nafees Qureshi
Keyword(s):  
Inguinal Hernia ◽  
Amyand’S Hernia ◽  
Suture Repair ◽  
Small Bowel Mesentery ◽  
Good Recovery ◽  
Hernia Sac ◽  
Blood Tests ◽  
Testicular Pain ◽  
Scrotal Hernia ◽  
Scrotal Swelling

A 50-year-old man was referred to the emergency department by his general practitioner with a tender right-sided irreducible inguinal hernia (previously reducible), right-sided testicular pain and scrotal swelling. Clinical examination revealed a non-reducible, tender right inguinal-scrotal hernia and swollen right scrotum. Blood tests showed raised inflammatory markers. The patient went on to have a CT scan which was reported to show an indirect right inguinal-scrotal hernia possibly containing terminal ileum and small bowel mesentery. The scan also showed increased infiltrate changes within the hernia sac suggesting incarceration with possible early strangulation but no obvious evidence of bowel obstruction. The patient was taken to the operating theatre and found to have a large right inguinal-scrotal hernia containing pus and a perforated necrotic appendix. He went to have an appendicectomy and sutured repair of the hernia. Postoperatively, the patient made a good recovery and was discharged 2 days postsurgery.

scholarly journals Mesh Inguinal Hernia Repair and Appendectomy in the Treatment of Amyand’s Hernia with Non-Inflamed Appendices

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Emin Kose ◽  
Abdullah Sisik ◽  
Mustafa Hasbahceci
Keyword(s):  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Male Patients ◽  
Variable Clinical Presentation

Amyand’s hernia is defined as protrusion of the vermiform appendix in an inguinal hernia sac. It is a rare entity with variable clinical presentation from normal vermiform appendix to abscess formation due to perforation of acute appendicitis. Although surgical treatment includes appendectomy and hernia repair, appendectomy in the absence of an inflamed appendix and use of a mesh in cases of appendectomy remain to be controversial. The aim of this study was to review the experience of mesh inguinal hernia repair plus appendectomy performed for Amyand’s hernia with noninflamed appendices. There were five male patients with a mean age of 42.4 ± 16.1 years in this retrospective study in which Amyand’s hernia was treated with mesh inguinal hernia repair plus appendectomy for noninflamed appendices. Patients with acute appendicitis and perforated vermiform appendix were excluded. There were four right sided and one bilateral inguinal hernia. Postoperative courses were uneventful. During the follow-up period (14.0 ± 7.7 months), there was no inguinal hernia recurrence. Mesh inguinal hernia repair with appendectomy can be performed for Amyand’s hernia in the absence of acute appendicitis. However, presence of fibrous connections between the vermiform appendix and the surrounding hernia sac may be regarded as a parameter to perform appendectomy.

scholarly journals A rare case of Amyand’s hernia with acute appendicitis in a 69-year-old woman: a case report

2020 ◽  
Vol 2 (4) ◽  
pp. 385-387
Author(s):  
Antonio Gligorievski ◽  
◽  
◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Ct Scanning ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
History Of ◽  
The Right ◽  
Surgical Clinic

Introduction: Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The aim of this report is to describe a case of Amyand’s hernia and highlights the importance of early CT scanning in reaching the exact and early diagnosis of Amyand’s hernia. Case report: We present a rare case of a 69-year-old female patient with a history of intermittent pain in the right inguinal region is see at the emergency surgical clinic. The patient underwent a CT scan of the abdomen and a small pelvis, and an inflamed appendix was diagnosed. The inflamed appendix is herniated in the inguinal hernia sac. Computed tomography was the only modality to diagnose the hernia sac contents preoperatively. Discussion: The reported incidence of Amyand’s hernia is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis. This hernia may be present without symptoms until the inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation, or rupture. Early symptoms include tenderness and inguinal swelling. Conclusions: Computer tomography helps make an accurate and timely diagnosis of Amyand’s hernia, thus avoiding complications from delayed surgery.

scholarly journals Amyand's Hernia: Perforated Appendix in an Incarcerated Inguinal Hernia

Cureus ◽  
2020 ◽  
Author(s):  
Anupam K Gupta ◽  
Oscar A Vazquez ◽  
Salah J El Haddi ◽  
Michael Dedwylder ◽  
Jose F Yeguez
Keyword(s):  
Inguinal Hernia ◽  
Amyand’S Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Perforated Appendix

scholarly journals A Rare Case of Sigmoid Colon Carcinoma in Incarcerated Inguinal Hernia

Diagnostics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 99
Author(s):  
Dario Baldi ◽  
Vincenzo Alfano ◽  
Bruna Punzo ◽  
Liberatore Tramontano ◽  
Simona Baselice ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Inguinal Hernia ◽  
Rare Case ◽  
Whole Body ◽  
Surgical Operation ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Common Diagnosis ◽  
Contrast Agent Injection ◽  
Sigmoid Cancer

Incarcerated inguinal hernia is a common diagnosis in patients presenting a painful and nonreducible groin mass. Although the diagnosis is usually made by physical examination, the content of the hernia sac and the extent of the surgical operation may vary and can require multimodal imaging integration (e.g., ultrasonography, computed tomography); the usual finding is a segment of small bowel and, less commonly, large bowel. We present an extremely rare case of a sigmoid cancer incarcerated in a left inguinal hernia and infiltrating the spermatic cord. The patient underwent whole-body computed tomography (CT) with contrast agent injection for staging, followed by a left hemicolectomy paralleled by a unilateral orchiectomy.

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