scholarly journals Amyand Hernia With Acute Appendicitis: A Rare Type of Hernia

Cureus ◽  
2021 ◽  
Author(s):  
Majd A Assad ◽  
Thamer A Boushal ◽  
Zeyad W Halawani ◽  
Rayan S Alruwaili ◽  
Yakeen H Alkuwaiti ◽  
...  
2021 ◽  
Vol 5 (1) ◽  
pp. 803-805
Author(s):  
Dimitar Hadzhiev ◽  
Dzhevdet Chakarov ◽  
Evgeniy Moshekov ◽  
Boris Sakakushev ◽  
Elena Hadzhieva

Amyand hernia is a rare presentation in inguinal hernias (less than 1% of cases with inguinal hernias) which is evidenced when in herniated masses the presence of inflamed appendix is ​​ascertained or not. It was named after a French surgeon, Claudius Amyand (1660-1740), who performed the first successful appendectomy in 1735, where he found an acute appendicitis in a herniated mass. Most cases are diagnosed intraoperatively, as an accurate preoperative diagnosis rarely becomes evident. Management is individual depending on the stage of inflammation of the appendix, the presence of abdominal sepsis and concomitant factors. The decision should be based on factors such as the patient's age, the size and anatomopathological shape of the appendix, and in the case of an inflamed appendix, standard appendectomy and retinal herniorrhage should be the gold standard of treatment. Amyand hernia is usually misinterpreted as a common incarcerata hernia. Symptoms that mimic appendicitis may appear. Treatment consists of a combination of appendectomy and hernia repair. The inflammatory status of the appendix determines the type of hernia repair and the surgical technique. Occasional appendectomy in the case of a normal appendix is ​​not recommended. Amyand hernia is a rare type of inguinal hernia in which the appendix is located in the hernia sac. We present a case of a recurrent incarcerated Amyand’s hernia with complicated appendicitis. The 78 old polymorbide patient with right-sided incarcerated recurrent hernia was emergently operated on and appendectomy and non-mesh hernioplasty performed, on the 3rd postoperative day for a heart attack he was placed cardio stimulator with uneventful outcome. Fifteen months follow up did not show complications or complaints.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Ahmad ◽  
N Fazili ◽  
T P Chang ◽  
H Abdalla ◽  
J Watfah ◽  
...  

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.


Author(s):  
Manuel Antonio Grez Ibáñez ◽  
Heyssel Carmona Alvarado ◽  
Javiera Andrea Díaz Zapata

2021 ◽  
Vol 71 (1) ◽  
pp. 367-69
Author(s):  
Ghufran Ahmed ◽  
Imran Ashraf ◽  
Muhammad Ali Muazzam ◽  
Muhammad Shoaib ◽  
Muhammad Farooq Shahid ◽  
...  

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.


2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227334
Author(s):  
Samarth Agarwal ◽  
Ashish Sharma ◽  
Ajay Aggarwal ◽  
Satyanarayan Sankhwar

Appendicovesical fistula is a rare type of enterovesical and a very rare complication of acute appendicitis. Herein, we report a case of a 22-year-old man who presented with cloudy urine and pneumaturia with a prior history of acute appendicitis. Imaging techniques including ultrasonography, CT and cystoscopy were performed to diagnose the abnormality. Diagnosis of this fistula is challenging and relies on detailed history and radiological imaging.


2021 ◽  
Author(s):  
Edward Forrest ◽  
Calvin Fletcher ◽  
Melissa Budge ◽  
James C. Lee ◽  
Simon Grodski ◽  
...  

2017 ◽  
Vol 3 ◽  
pp. 702-704 ◽  
Author(s):  
Georgios Velimezis ◽  
Nikolaos Vassos ◽  
Georgios Kapogiannatos ◽  
Dimitrios Koronakis ◽  
Evangelos Perrakis ◽  
...  

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