783 results on '"Amyand's hernia"'
Search Results
202. Amyand’s hernia: A case report and review of the literature
- Author
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Mark McKenney, Youssef Shaban, Adel Elkbuli, and Dessy Boneva
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medicine.medical_specialty ,medicine.medical_treatment ,Perforation (oil well) ,Amyand hernia ,Article ,Amyand's hernia ,03 medical and health sciences ,0302 clinical medicine ,Right Inguinal Region ,medicine ,Appendectomy ,Hernia ,030212 general & internal medicine ,Acute appendicitis ,business.industry ,General surgery ,medicine.disease ,Hernia repair ,digestive system diseases ,stomatognathic diseases ,Inguinal hernia ,surgical procedures, operative ,030220 oncology & carcinogenesis ,Appendix in hernia ,Surgery ,Incarcerated Inguinal Hernia ,business ,Rare disease - Abstract
Highlights • It may be beneficial for patients with type 2 Amyand’s hernia to have an appendectomy with a tension free hernia repair using mesh. • Controversies still exist regarding the recognized classification system and treatment algorithm of Amyand hernia. • Controversy exists regarding the use of mesh for the treatment of type 2 Amyand’s hernia however we add to the argument of pro-mesh., Introduction An Amyand hernia is a rare disease where the appendix is found within an inguinal hernia sac. This rare entity is named after the French born English surgeon, Dr. Claudius Amyand. Inguinal hernias are one of the most common surgeries that a general surgeon performs with more than 20 million inguinal hernia repairs performed yearly worldwide. The incidence of finding an appendix within the hernia sac is rare, occurring in less than 1% of inguinal hernia patients and when complications arise such as inflammation, perforation, or abscess formation it becomes exceptionally rare with an incidence of about 0.1%. Presentation of case A 59-year-old male with a history of a previously reducible right inguinal hernia presented to the Emergency Department with acute abdominal pain, right groin mass. Computed tomography (CT) confirmed a right incarcerated inguinal hernia with herniated loops of bowel within the right inguinal region. Patient was subsequently treated with an appendectomy and tension free hernia repair with mesh with a successful outcome. Discussion The current generally accepted treatment algorithm for Amyand’s hernia is essentially contingent on the appendix’s condition within the hernia sac. Controversy exists regarding the application of mesh in type 2 Amyand’s hernia. More research is needed to provide surgeons with evidence-based standardized approaches for dealing with this unique situation. Conclusion This case report reviews a rare entity known as an Amyand’s hernia that presented as an incarcerated hernia that was diagnosed intraoperatively with an inflamed appendix, recognized as a type 2 Amyand’s hernia.
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- 2018
203. Total Colon 'Collapse' in Giant Left-Sided Inguino-Scrotal Hernia: Double-Mesh Plastic Repair
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Paola Caprino, Carlo Alberto Schena, L. Sofo, and Franco Sacchetti
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medicine.medical_specialty ,Scrotal Hernia ,business.industry ,Context (language use) ,Fascia ,Thigh ,medicine.disease ,Amyand's hernia ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Scrotum ,medicine ,030211 gastroenterology & hepatology ,Hernia ,Pubic tubercle ,business - Abstract
Giant inguino-scrotal hernias are those that extend below the midpoint of the inner thigh when the patient is in the standing position. There are three specific problems with management of these giant inguinal hernias: the “loss of domain” of the bowel, the high risk for recurrence, and the residual exuberant scrotal skin. A fundamental part in the treatment of patients with large hernias is represented by a careful preoperative investigation using MR and, if necessary, CT scan to exclude neoplastic pathology in the context. In this article, we describe the case of an obese patient suffering from Von Recklinghausen syndrome carrying a giant left inguino-scrotal hernia. A wide left inguinotomy partially extended to the scrotum was performed. In the hernia sac, the colon was completely collapsed and floating as it was entirely free from any intra-abdominal anatomic anchoring points. After a radical needful omentectomy, the trasversalis fascia and the internal inguinal ring were reconstructed with a polypropylene mesh placed in the pre-peritoneal-retro muscular space. A second wider polypropylene mesh was positioned above the muscular abdominal plane fixed to the pubic tubercle.
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- 2019
204. Spontaneous evisceration of small bowel in Amyand's hernia: a case report
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M. P. dos Santos, Marcus Feitosa, Francisco Teixeira Andrade, P. V. dos Santos Filho, and B S Teixeira
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,MEDLINE ,medicine ,Surgery ,medicine.disease ,business ,Evisceration (ophthalmology) ,Amyand's hernia ,Abdominal surgery - Published
- 2019
205. Appendiceal Carcinoid Tumor within Amyand's Hernia: A Case Report and Review of the Literature
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Turgut Piskin, Baris Sarici, and Sami Akbulut
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Acute appendicitis ,medicine.medical_specialty ,business.industry ,General surgery ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,Case Report ,Appendiceal Carcinoid Tumor ,lcsh:RC86-88.9 ,medicine.disease ,Amyand's hernia ,Appendix ,digestive system diseases ,Metastasis ,Inguinal hernia ,stomatognathic diseases ,medicine.anatomical_structure ,surgical procedures, operative ,Neuroendocrine tumor ,medicine ,Incarcerated hernia ,Hernia ,business - Abstract
Introduction: Amyand's hernia is defined as the herniation of the whole or a part of appendix vermiformis into an inguinal hernia sac. Amyand's hernia is very rare, constituting about 1% of all inguinal hernia patients and 0.1% of all acute appendicitis patients. In one-quarter of Amyand's hernia patients, inflammatory changes are detected in appendix vermiformis. Detecting an appendiceal tumor in an Amyand's hernia sac is extremely rare, with only eight cases having been reported so far in the English literature. Case presentation: A 64-year-old man with an appendiceal carcinoid tumor inside an incarcerated Amyand's hernia sac. As the tumor was localized to the radix of the appendix, resection was carried out with the help of a linear-cutter stapler in a way to contain a part of the cecal wall. As the pathology examination revealed a carcinoid tumor infiltrating the periappendicular fatty tissue, right hemicolectomy was performed in a second session, in compliance with the oncological principles. No metastasis was present at the 24th month. Case reports published in the English literature regarding the Amyand's hernia with an appendiceal tumor were also analyzed in this study. Conclusion: Amyand's hernia containing an appendiceal tumor is an extremely rare clinical entity. Clinical manifestations mostly mimic the incarcerated hernia and thus accurate diagnosis is made incidentally during hernia surgery. The basic oncological principles apply for the approach to tumors inside a hernia sac. Keywords: Acute appendicitis, Amyand's hernia, Neuroendocrine tumor
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- 2019
206. Amyand Fıtığı: Sıradışı İnkarsere Nüks İnguinal Herni Vakası
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Ali Ozer and Meltem Güner Can
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medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,General surgery ,medicine ,General Medicine ,Incarcerated Inguinal Hernia ,business ,medicine.disease ,Amyand's hernia ,Appendix - Published
- 2019
207. Amyand's Hernia in a Neonate Presenting with Inguinoscrotal Erythema: A Difficult Diagnosis
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Anas Fagelnor and Ahmed Mohamed
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appendicitis ,medicine.medical_specialty ,Erythema ,lcsh:Surgery ,Case Report ,Amyand's hernia ,amyand's ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,medicine ,Hernia ,Vermiform ,business.industry ,General surgery ,lcsh:RJ1-570 ,lcsh:Pediatrics ,lcsh:RD1-811 ,medicine.disease ,Appendix ,Appendicitis ,Inguinal hernia ,medicine.anatomical_structure ,inguinal hernia ,030211 gastroenterology & hepatology ,neonate ,Incarcerated Inguinal Hernia ,medicine.symptom ,business - Abstract
The presence of the vermiform appendix, whether inflamed or not, inside a hernial sac is known as Amyand's hernia. Due to nonspecific signs, preoperative diagnosis is not common and requires a high index of suspicion along with awareness of this rare entity. It is more commonly mistaken for a strangulated or incarcerated inguinal hernia. Most cases of reported Amyand's hernia with appendicitis were in pre-term babies, infants, and post-menopausal women. We present a similar case in a 19-day-old, full-term baby presenting with inguinoscrotal edema, erythema, and without a palpable inguinoscrotal mass.
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- 2019
208. A Strangulated Amyand's hernia:The first case report in Syria
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Sarya Swed, Hidar Alibrahim, Bisher Sawaf, and Mouhammad Albattour
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medicine.medical_specialty ,Abdominal pain ,Case Report ,Appendix ,Amyand's hernia ,digestive system ,medicine ,Hernia ,business.industry ,General surgery ,General Medicine ,Emergency department ,Radiological examination ,bacterial infections and mycoses ,medicine.disease ,digestive system diseases ,stomatognathic diseases ,Inguinal hernia ,surgical procedures, operative ,medicine.anatomical_structure ,Surgery ,Hernia sac ,Strangulation ,medicine.symptom ,business - Abstract
Amyand's hernia is a rare case of inguinal hernia where the hernia sac contains the appendix, and depending on the condition of the appendix, this type is classified into under types where the appendix can be normal, inflamed, or even perforated. Accordingly, the patient's condition can be good or bad. In our case, we have a 13-year-old child who suffers from abdominal pain and discomfort. He is referred to the emergency department with this complaint. By clinical and radiological examination, the presence of an inguinal hernia containing the appendix was found. Based on that, we performed emergency and investigative surgery in order to determine the condition of the appendix and whether there is suffocation or not. It was found by surgical opening that the hernia was incarcerated and this required excision of the appendix and repair of the hernia., Highlights • The crural hernia containing an inflamed appendix is a rare entity. • The clinical presentation depended on the inflammation extension inside the hernia sac. • The hernia repair must be performed without prosthetic material.
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- 2021
209. Left Amyand’s hernia with inflamed appendix and sealed of perforated caecum an unusual case
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Vishaka Iyer, Reshma Bhalchandra Mohite, Sarojini Pramod Jadhav, and Anant N. Beedkar
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Unusual case ,biology ,business.industry ,Anatomy ,biology.organism_classification ,medicine.disease ,digestive system ,digestive system diseases ,Appendix ,Amyand's hernia ,Caecum ,surgical procedures, operative ,medicine.anatomical_structure ,Medicine ,business - Abstract
Amyand’s hernia is defined as the hernia with appendix normal, inflamed or perforated as content. 1% of inguinal hernias are Amyand’s and amongst them 0.1% contains inflamed appendix. Commonly encountered on right size due to anatomical position of appendix. Left Amyand’s is rare and associated with intestinal malrotation, situs invertus and mobile caecum. Here, we presented an interesting case of left irreducible hernia in 70 years old gentleman with no signs of acute obstruction or strangulation, patient underwent emergency laparotomy in which hernial sac contents were inflamed ileal loop, inflamed appendix and perforated caecum in 70 years old man is rare presentation and not reported in any literature as per our knowledge. Resection of inflamed bowel loop with ceacum done along with ileo ascending anastomosis with primary tissue repair done. Post-operative period was uneventful. Hernia sac contents are most of the time surprising and their management sometimes differ according to the content. Appendix in hernia sac is found in 1% of all hernia but lack of facility for the pre-operative diagnosis and varied presentation it is challenging to diagnose and operate accordingly.
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- 2021
210. Bilateral congenital inguinal hernia with right-sided Amyand's hernia in a premature twin: Case report and a summary of clinical presentations, management and outcomes in neonates and infants with Amyand's hernia
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Sabrina Rahman, Gian Nuñez-Rojas, Urías De Jesús Hernández-López, Katherine Lizeth Muñoz-Murillo, Willfrant Jhonnathan Muñoz-Murillo, and Audrey Vargas-Buelvas
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medicine.medical_specialty ,business.industry ,Inguinal hernia ,Perforation (oil well) ,Twins ,Case Report ,medicine.disease ,Amyand's hernia ,Appendix ,Surgery ,medicine.anatomical_structure ,Pediatric surgery ,Congenital hernia ,medicine ,Hernia ,Presentation (obstetrics) ,Complication ,business ,Premature birth - Abstract
Introduction and importance Congenital hernias occur 70% on the right side, 25% on the left side, and approximately 5% bilaterally. The finding of a congenital Amyand's hernia is of interest, especially in patients who do not present risk factors associated with connective tissue disorders, ascitic conditions, fetal developmental disorders or any condition that increases abdominal pressure. Case presentation Male patient, 6 months old, was brought to the pediatric surgery department due to a visible mass in the bilateral inguinal region, which protruded with crying. The parents report that he was a 36-week preterm, low birth weight, monochorionic monoamniotic twin with bilateral congenital inguinal hernia. An open herniorrhaphy was performed, showing a left communicating hydrocele with an indirect left inguinal hernia and right communicating hydrocele with indirect inguinal hernia containing cecal appendix with no signs of inflammation. Clinical discussion The most common clinical presentation is the presence of a reducible or irreducible mass, erythema and/or inguino-scrotal edema, irritability manifested by crying and recurrent pain in older infants. This condition may be associated with cryptorchidism, intrauterine structural developmental disorder, and the presence of fistulas. Appendectomy and traditional hernia reduction are the most common surgical approach. The evolution of this condition is favorable with extremely low complication rates. Conclusion Amyand's hernia in the neonate is a rare presenting condition, which frequently involves nearby structures with risk of inflammation, incarceration and perforation, so repair should be performed early., Highlights • Currently there are controversies in the approach of congenital inguinal hernias. • The overall outcome in the management of congenital hernia is favorable. • Traditional hernia management for congenital Amyand's hernia has good results.
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- 2021
211. Amyand’s hernia in a child with permanent neonatal diabetes due to pancreatic agenesis.
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Alessandro Giannattasio, Riccardo Campus, Monica Muraca, Giorgio Lucigrai, Renata Lorini, and Giuseppe d'Annunzio
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Amyand’s Hernia ,Neonatal Diabetes ,Pancreas Agenesis ,Ultrasonography ,Medicine ,Pediatrics ,RJ1-570 - Abstract
Acute or perforated appendicitis within inguinal hernia is rarely encountered and it is known as Amyand’s hernia. We report on the first case occurring in a 4-year-old boy affected by permanent neonatal diabetes mellitus due to pancreatic agenesis, an extremely rare condition. The initial suspicion of inguinal hernia was confirmed by ultrasound examination of the right inguinal region which revealed omental layers inside a swollen inguinal canal; this finding and the clinical presentation allowed a prompt and appropriate surgical management. The careful evaluation of this patient and early recognition of this unique presentation of appendicitis allowed trans-hernial appendectomy and immediate herniorrhaphy. Ultrasonography played a pivotal role to reach the correct diagnosis and to start a prompt treatment.
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- 2009
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212. S1974 A Rare Case of Amyand’s Hernia Presenting as Acute Uncomplicated Appendicitis
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Jacob DePolo, Mark Anderson, and Samuel C. Purkey
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medicine.medical_specialty ,Hepatology ,business.industry ,General surgery ,Rare case ,Gastroenterology ,medicine ,Uncomplicated appendicitis ,medicine.disease ,business ,Amyand's hernia - Published
- 2021
213. Amyand’s Hernia: A Rare Case Report
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Rizka Fakhriani and Fadli Robby Amsriza
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Embryology ,medicine.medical_specialty ,Groin ,business.industry ,medicine.medical_treatment ,Cell Biology ,Inguinal hernia surgery ,medicine.disease ,Hernia repair ,digestive system diseases ,Amyand's hernia ,Surgery ,stomatognathic diseases ,Inguinal hernia ,Deep inguinal ring ,surgical procedures, operative ,medicine.anatomical_structure ,Right Inguinal Region ,medicine ,Hernia ,Anatomy ,business ,Developmental Biology - Abstract
Amyand’s hernia is described in the inguinal hernia sac as being the presence of an appendix vermiformis . It is a rare condition the incidence is about 1 per cent of all inguinal hernias. It is often diagnosed incidentally during inguinal hernia surgery. The main treatment method of Amyand’s hernia is surgery. We report a case of 63 years old man who presented with right inguinal groin bulge for 1 month with the previous repaired right inguinal hernia 5 years ago. On clinical examination revealed a 6 cmx8 cm firm, nontender, irreponible mass in the right inguinal region. He was diagnosed as right sided irreponible inguinal hernia. He was undergoing the elective surgery. Intra-operative, the hernia sac was laterally found in the inferior epigastric vessels and separated from sperm cord to deep inguinal ring. The hernia sac was opened. A non-inflamed appendix was seen. Appendectomy was performed, and the hernia was repaired by Halsted’s repair. Amyand’s hernia is a rare condition. The correct diagnosis is usually made intraoperative. Keywords: Amyand’s hernia, appendectomy, hernia repair, inguinal hernia.
- Published
- 2021
214. Amyand's hernia a case report
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Munira Abdul Aziz, Naveed Ali Khan, and Hina Khalid
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Abdominal pain ,medicine.medical_specialty ,medicine.medical_treatment ,(AH) vermiform appendix ,Case Report ,Amyand's hernia ,AH, Amyand's hernia ,medicine ,Hernia ,business.industry ,Inguinal hernia ,medicine.disease ,Hernia repair ,Inguinal canal ,digestive system diseases ,Appendix ,Surgery ,stomatognathic diseases ,surgical procedures, operative ,medicine.anatomical_structure ,Hernioplasty ,Abdomen ,Appendicectomy ,medicine.symptom ,business - Abstract
Introduction and importance Amyand's hernia (AH) is a form of inguinal hernia which is consider as very rare and this type of hernia occurred up to 1% of all inguinal hernia cases. In this type of inguinal hernia, the content of hernia sac is appendix. Most patient with AH often remains asymptomatic and diagnosed intraoperatively. The diagnosis is challenging, since needs a high index of suspicion and imaging is key. Surgery is the mainstay management. We report a case of Amyand's hernia that was managed operatively in our medium complex public institution. Case presentation A 28 year's old man with normal body mass index (BMI) who had a history of right-side reducible linguino-scrotal swelling for 8 years, was admitted for elective right inguinal hernia repair. Two weeks back before admission, he noticed that swelling was slightly painful. Ultrasound of the abdomen reported normal findings. There was no history of abdominal pain and vomiting. Laboratory parameters were within normal limit. So, with a diagnosis of right sided partially reducible, incomplete, and indirect inguinal hernia, patient was operated for open hernia repair surgery, intra operatively we found dense adhesions within the sac, adhesions were released which revealed herniation of appendix into the inguinal canal. Appendix was mildly congested without gross evidence of inflammation. Hence, in view of noninflamed appendix, preperitoneal mesh (polypropylene) hernioplasty from Lichtenstein tension-free mesh repair was performed with appendicectomy. Postoperative period was uneventful, patient discharged at second day. Clinical discussion Amyand's hernia is very uncommon and characterized by the presence of the appendix in the hernia sac and it is 0.4–1% of all inguinal hernia cases, literature review also showed that incidence of Amyand's hernia is very rare, whereas only 0.1% of cases complicate into acute appendicitis due to late presentation and missed diagnosis. Conclusion Amyand's hernia (AH) makes up only a small proportion of most inguinal hernia cases, and its diagnosis is usually based on incidental finding intra-operatively. This condition may remain asymptomatic and behave like a normal inguinal hernia. Management of this type of hernia should be individualized according to appendix's inflammation stage, presence of abdominal sepsis and co-morbidity. With this approach it enables surgeons to manage more variations of Amyand's hernia. Laparoscopy for dealing Amyand's hernia is frequently diagnostic as well as therapeutic.
- Published
- 2021
215. Amyand's hernias in childhood (a report on 21 patients): a single-centre experience.
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Okur, Mehmet, Karaçay, Şafak, Uygun, İbrahim, Topçu, Koray, and Öztürk, Hasan
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INGUINAL hernia , *JUVENILE diseases , *APPENDECTOMY , *ROUTINE diagnostic tests , *THERAPEUTIC use of ultrasonic imaging , *APPENDIX (Anatomy) - Abstract
Purpose: Amyand's hernia is a very rare type of hernia and is characterised by the presence of a vermiform appendix in the inguinal hernia sac. It may present as a tender inguinal or inguinoscrotal swelling, and is usually misdiagnosed as an irreducible or strangulated inguinal hernia. This is a presentation of our experiences with these unusual hernias. Methods: This study conducted a retrospective analysis of 21 patients with Amyand's hernias operated on at our institution between April 2007 and February 2011. The age and sex distributions of the patients, the types of hernias, and preoperative diagnostic tests were evaluated. Results: Twenty patients were male (95.3 %) and one was female (4.7 %). The median age was 20.3 months (ranging from 2 months to 10 years). In nine patients, the conditions were diagnosed using ultrasonographic (USG) imaging preoperatively. Nine of the 21 patients underwent emergency operations. The 12 remaining patients were operated on after preparations were completed. The operative findings included 12 normal appendixes, five inflamed appendixes, one perforated appendix, and three hernias whose inner hernia sac surface was adhered to the appendix. Nine patients underwent inguinal hernia repair with appendectomy, and 12 patients had hernia repair without an appendectomy. Recurring hernias and appendicitis were not detected in any patients within the follow-up time. Conclusions: Although a routine appendectomy is not required for a normal-looking appendix, in a case where the inflammatory status of the appendix adheres to the surface of the hernia sac, an appendectomy is required. We believe that USG examination in the diagnosis of Amyand's hernias can provide additional contribution. [ABSTRACT FROM AUTHOR]
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- 2013
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216. Laparoscope-assisted diagnosis and treatment for Amyand's hernia in children-report of six cases.
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Li, Bing, Zhang, Jia-yang, Wang, Ye-bo, Chen, Wei-bing, Wang, Shou-qing, Jin, Li-gong, and Li, Dong-hai
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LAPAROSCOPIC surgery , *HERNIA , *JUVENILE diseases , *APPENDIX (Anatomy) , *RETROSPECTIVE studies , *SURGICAL site infections , *HEALTH outcome assessment , *DIAGNOSIS - Abstract
Laparoscope-assisted diagnosis and treatment of Amyand's hernia in children are rarely reported in literature. We report our preliminary experiences to emphasize the advantages and feasibility of this procedure in six cases. Laparoscope-assisted diagnosis and treatment of Amyand's hernias in six children from October 2010 to February 2012 were performed. A retrospective analysis of clinical data of these patients was performed. The mean age of the six patients was 234 days (ranging from 40 days to 13 months). Four cases were operated with laparoscope-assisted method urgently as incarcerated hernia. To the two cases with normal appendix, only herniorrhaphy was performed. Average follow-up was 14 months (9-24 months), with no wound infection and no recurrent hernias. In conclusion, diagnosis of Amyand's hernia before operation is difficult, and laparoscopic method is safe and effective in these cases with good outcomes, and worth introduced. [ABSTRACT FROM AUTHOR]
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- 2013
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217. Simultaneous laparoscopic total extraperitoneal inguinal hernia repair and laparoscopic appendectomy for Amyand’s hernia: a case report
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Muroya, Daisuke, Sato, Shinji, Okabe, Masayuki, Kishimoto, Yukiya, and Tayama, Keiichiro
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- 2019
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218. Acute appendicitis and periappendicular abscess in an incarcerated recurrent inguinal hernia.
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Varsamidakis, N., Zevlas, A., Kostopanagiotou, K., and Crockett, J.
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We present a case of Amyand's hernia with acute suppurative appendicitis. This variety is a surgical emergency requiring prompt appendectomy. [ABSTRACT FROM AUTHOR]
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- 2011
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219. An approach to the management of Amyand's hernia and presentation of an interesting case report.
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Ranganathan, G., Kouchupapy, R., and Dias, S.
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CASE studies , *INGUINAL hernia , *HERNIA surgery , *APPENDIX surgery , *APPENDICITIS ,GROIN surgery - Abstract
Introduction: Inguinal hernia is one of the most common operations and 1% of the cases contain appendix in the hernial sac, which is known as Amyand's hernia. Inflamed appendix and its presence in recurrent inguinal hernia is a rare encounter in general surgery. The management of Amyand's hernia is not straightforward without awareness. Methods: Recurrent inguinal hernia with Amyand's hernia history, clinical features and management was studied and compared with the present literature. We have discussed the management options and an approach using a Medline literature review. Results: An 80-year-old gentleman who had a right-side inguinal hernia operated 40 years ago presented with a right groin swelling and increasing redness associated with pain for 3 days. Clinical signs and symptoms were in favour of strangulated inguinal hernia. He was operated and appendicectomy was done for inflamed non-perforated appendicitis. Prolene mesh repair was done and he was treated with a full course of antibiotics. Discussion: Amyand's hernia is difficult to diagnose pre-operatively and its presence in recurrent hernia has only been reported once before. The management of Amyand's hernia is not straightforward in most of the cases. Inflamed and perforated appendix needs to be removed. Delayed mesh repair is a better surgical option in perforated appendix cases. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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220. Amyand fıtığı: Olgu serisi ve deneyimimiz.
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Sözen, Selim, Alıcı, Ali, Tükenmez, Mustafa, Topuz, Ömer, Güzel, Kerim, Emir, Seyfi, Dirik, Hasan, and Tuna, Ömer
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HERNIA treatment , *APPENDIX diseases , *GASTROENTERITIS , *APPENDECTOMY , *INGUINAL hernia , *LEUCOCYTOSIS , *OPERATING rooms , *APPENDIX surgery - Abstract
Background: Acute appendicitis in an inguinal hernia that has been called as "Amyand's Hernia" since the day on which Claudius Amyand has described the condition. That was the first appendectomy ever reported in the literature. The incidence of acute appendicitis in an inguinal hernia is 0,13 % of all cases with acute appendicitis. Herein, the patients diagnosed with Amyand's hernia are evaluated retrospectively. Methods: The clinical, laboratory and radiological findings in patients with Amyand's hernia between 2005 and 2008 are evaluated. Results: In this period, 2250 patients with hernia were operated and hernioplasty was performed. Amyand's hernia was diagnosed in only 21 patients. The age ranged from 18 to 78 years (median, 55 years). The most common symptoms were right inguinal mass and abdominal pain, and the most common findings were right inguinal mass and right lower quadrant tenderness. Leukocytosis and neutrophilia were detected in 4 patients. Appendectomy plus hernioplasty in 8 patients and appendectomy plus mesh hernioplasty in 9 patients were performed. Conclusion: When diagnosed in the operating room, appendectomy through herniotomy is the procedure of choice in Amyand's hernia. Herein we report 21 cases with Amyand's hernia and review the literature. [ABSTRACT FROM AUTHOR]
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- 2010
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221. Incarcerated Amyand's hernia in a premature infant associated with circumcision: a case report and literature review.
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Park, J., Hemani, M., Milla, S., Rivera, R., Nadler, E., and Alukal, J.
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CASE studies , *PREMATURE infant diseases , *CIRCUMCISION , *LITERATURE reviews - Abstract
myand's hernia is a rare presentation of an appendix within an inguinal hernia sac. It is commonly mistaken for an incarcerated or strangulated hernia. Prompt diagnosis requires awareness of this entity, as well as associated radiologic findings on computed tomography (CT) and ultrasound. Treatment includes antibiotics and surgical intervention involving appendectomy and hernia repair. We present a case of a premature infant who developed systemic symptoms after a circumcision and was eventually diagnosed with an Amyand's hernia with concurrent appendicitis. [ABSTRACT FROM AUTHOR]
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- 2010
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222. Incidental discovery of Amyand's hernia in an adult female: A case report
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Robert Masereka, Franck Katembo Sikakulya, Philip Anyama, Patrick Onyai, and Sonye Magugu Kiyaka
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Vermiform ,medicine.medical_specialty ,Adult female ,business.industry ,medicine.medical_treatment ,General surgery ,Incidental Discovery ,Case Report ,Hernia repair ,medicine.disease ,Amyand's hernia ,digestive system diseases ,Appendix ,stomatognathic diseases ,Inguinal hernia ,surgical procedures, operative ,medicine.anatomical_structure ,medicine ,Surgery ,Hernia ,business - Abstract
Introduction and importance Amyand's hernia is a rare type of inguinal hernia with an incidence of about 0.1% of all inguinal hernias with most in occurring in childhood. It is characterized by the presence of the vermiform appendix within the hernia sac. Case presentation We report the case of 40-year-old female who underwent inguino-labial hernia repair with an incidental finding of a normal appendix within the sac; this was not predicted by the pre-operative ultrasound scan. Clinical discussion We recommend that a detailed ultrasound scan be done for all patients with an inguinal hernia to help to manage the patient timeously and safely. Conclusion We present a rare condition in a 40-year-old female with a right inguinal hernia, an Amyand's hernia., Highlights • We report a case of Amyand's hernia in a 40-year-old female who underwent inguinal hernia repair. • A normal appendix was found in the sac and reduced without appendicectomy. Hernia repair without mesh was then performed. • Ultrasound scan is an excellent technique to evaluate the inguinal region but remains operator dependent.
- Published
- 2021
223. Hernia de Amyand izquierda gigante, tratamiento con apendicectomía y hernioplastía sin tensión: Reporte de caso.
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C., Gallegos-Sierra, G., Hernández-Gómez, F., Fuentes-Flores, and la Cruz-Temores S., De
- Abstract
Amyand's hernia was described for first time by Claudius Amyand and it consists of the non-inflamed appendix inside an inguinal direct hernial sac. The incidence of this hernia is low; right sided account for 0.13% and left sided for less than 0.1% of all cases. There may occur in association with mobile cecum, situs inversus or intestinal malrotation. We present the case of an adult male diagnosed with Amyand hernia that underwent successful surgical treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2016
224. Amyand's hernia: 11 years of experience.
- Author
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Cigsar, Emine Burcu, Karadag, Cetin Ali, and Dokucu, Ali Ihsan
- Abstract
Purpose Presence of the vermiform appendix in an inguinal hernia sac is known as Amyand's hernia. This may present as a tender inguinal swelling and is often misdiagnosed as irreducible or strangulated hernia. Methods Between January 2003 and December 2013 we treated 4498 patients with inguinal hernias and performed 3267 appendectomies. Among these; 46 had an Amyand's hernia. Age, sex, presenting symptoms, treatment modality, histopathological findings, duration of hospitalization, and post-surgical outcomes were analyzed retrospectively. Results All patients were boys. The mean age was 16.7 months (15 days–8 years). 37 (80.4%) right, 2 (4.3%) left and 7 (15.2%) bilateral hernioplasties were performed. Nine patients underwent emergency surgery with an initial diagnosis of incarcerated hernia; Amyand's hernia was an incidental finding in the remaining 37 patients. Operative findings included 33 normal appendices, 9 inflamed appendices, one perforated appendix, and three appendices adherent to the hernia sac. Eighteen patients had appendectomy during hernia repair, and the other 33 had hernia repair without appendectomy. None of the patients developed recurrent hernia or appendicitis within the follow-up period. Conclusion In Amyand's hernia the appendix should be examined carefully. A classification of Amyand's hernia according to the presenting symptoms and inflammatory status of the appendix may help to determine whether or not to proceed with appendectomy. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
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225. Amyand’s hernia - A rare case report and the appropriate approach to its management.
- Author
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Moharana, Niranjan, Das, Pradipta Kumar, Panigrahi, Sudhir Kumar, and Mishra, Amaresh
- Subjects
- *
INGUINAL hernia , *HERNIA surgery , *APPENDECTOMY , *THERAPEUTICS - Abstract
A 54 years male admitted with a reducible right groin swelling of 8 months duration which is irreducible since 10 days with occasional mild dragging pain in the swelling. Clinical examination established a diagnosis of irreducible omentocele with a bowel loop as a component due to the variegated consistency of the swelling. Intraoperatively the hernia sac was found to contain greater omentum, caecum, terminal ileum and a grossly elongated non inflamed appendix. Then the diagnosis was certain to be right sided Amyand’s hernia. Releasing adhesions to the sac, appendectomy, reduction of contents, distal sac excision and hernioplasty using prolene mesh was done. Patient is doing well after 18 months of follow up. Hence awareness of this rare entity, early recognition and adoption of judicious surgical technique are the keys to an optimised outcome in the management of an Amyand’s hernia. [ABSTRACT FROM AUTHOR]
- Published
- 2016
226. Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand’s hernia.
- Author
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Ebaugh, Eric Paul, Hessel, Kara, and Udobi, Kahdi
- Abstract
Introduction Inguinal hernias containing the appendix are described as Amyand’s hernias. The surgical approach to these types of hernias is dependent on the type present and associated intra-operative findings. Presentation of case We present a case of complicated type IV Amyand’s hernia, which was managed though combined abdominal and inguinal approach. Though the patient had a prolonged post-operative course due to pulmonary embolism, he progressed to full recovery. Discussion The different grades of Amyand’s hernia are repaired in varying ways, including laparoscopic and open approaches with or without mesh. The type of repair must be tailored to the patient and disease process. Conclusion Primary repair of a perforated Amyand’s hernia provides adequate strength with decreased risk of infection due to synthetic material. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
227. Amyand Hernili Çocuklarda Apendektomi Gerekli mi?
- Author
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Sarsu, Sevgi Büyükbeşe
- Abstract
Amyand hernia, which is the the most frequently seen type of sliding hernia where one of the walls of hernial sac is formed by an intraabdominal organ, contains normal or inflamed appendix vermiformis in its hernial sac. Most of the cases are adult patients, and it is rarely seen in children. In addition to diagnostic difficulties encountered during preoperative period, diverse opinions have been put forth related to the management of this surgical pathology. Indeed, treatment of Amyand hernia varies according to inflammatory status of appendix contained in the hernial sac. Some authors advocated appendectomy even in cases without any evidence of appendicitis, in essence, a complete consensus has not been reached on this issue. Herein, we presented a 5-year-old male patient who was operated on with the indication of right inguinal hernia, and diagnosed intraoperatively as Amyand hernia; and aimed to discuss surgical protocol under the light of literature findings. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
228. Amyand's Hernia in Elderly Patients: Diagnostic, Anesthetic, and Perioperative Considerations.
- Author
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Yang, Weiping, Tao, Zongyuan, Chen, Hao, Li, Qinyu, Chu, Peiguo G., Yen, Yun, and Qiu, Weihua
- Subjects
- *
OLDER patients , *HERNIA , *DIAGNOSIS , *ANESTHESIA , *MEDICAL care - Abstract
The presence of a vermiform appendix in an inguinal hernia sac is termed as Amyand's hernia. Although rare, mistakes in diagnosis and treatment can cause catastrophic results. Charts of patients with inguinal hernia were reviewed, and four cases of Amyand's hernia were confirmed. The clinical presentation, anesthetic, and perioperative management of Amyand's hernia were further analyzed. The mean age of patients was over 70 years, and all were males. None of the patients were diagnosed preoperatively. All the patients had little abdominal complaint only with a right inguinal mass and dragging sensation for several hours. Due to the short time after incarceration and significant cardiovascular and pulmonary comorbidities, manual reduction was attempted first in three patients. With complete preoperative evaluation and careful perioperative support, all patients underwent appendectomy and Bassini's hernia repair through a groin incision. Based on age-related organ failure and associated chronic medical illnesses of geriatric patients, the difficulties in the diagnosis and treatment are also summarized and analyzed. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
229. Amyand’s hernia: a series of 30 cases in children.
- Author
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Kaymakci, A., Akillioglu, I., Akkoyun, I., Guven, S., Ozdemir, A., and Gulen, S.
- Subjects
- *
INGUINAL hernia , *APPENDECTOMY , *APPENDIX (Anatomy) , *OPERATIVE surgery , *JUVENILE diseases - Abstract
Amyand’s hernia is a very rare condition with a presence of a vermiform appendix in an inguinal hernia sac. It is estimated to be found in approximately 1% of adult inguinal hernia. In this study, we report a retrospective analysis of 30 patients aged between 19 days and 8 years with an Amyand’s hernia operated in our institution from 1998 to 2009, and we reviewed the literature on the topic. Hernia repair without an appendectomy was performed in patients with normal appendix. Emergency appendectomy through herniotomy was performed in cases of inflamed and perforated appendices. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
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230. AMYAND'S HERNIA; A CASE REPORT.
- Author
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Iqbal, Muhammad Rafaih, Younis, Muhammad Umar, and Saeed, Huma
- Subjects
- *
APPENDIX surgery , *OPERATIVE surgery - Abstract
Introduction: An appendix in an inguinal hernial sac is called as Amyand's Hernia. The appendix may or may not be inflamed. It is a rare occurrence in surgical practice. Case Presentation: A 23 years old male presented with the clinical diagnosis of strangulated right inguinal hernia. On surgical exploration acutely inflamed appendix was found in the hernial sac. Appendicectomy and hernia repair was carried out. Conclusion: Inguinal hernia is one of the most common general surgical procedure. Unexpected hernial sac contents like an inflamed appendix may be encountered and dealt accordingly. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
231. Timely recognition of Amyand's hernia with appendicitis in infants.
- Author
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Shen, Zhen and Zheng, Shan
- Abstract
Background: Amyand's hernia with acute appendicitis is rare in infants and is mostly delayed in diagnosis and treatment, resulting in a high morbidity. Methods: We presented two cases of infantile Amyand's hernia with acute appendicitis. Results: Early surgical interventions were performed and both patients recovered without complication. Conclusion: A practical strategy for this entity is to be aware of the rare disease and to perform early surgical exploration for suspected cases. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
232. Bilateral congenital inguinal hernia with right-sided Amyand's hernia in a premature twin: Case report and a summary of clinical presentations, management and outcomes in neonates and infants with Amyand's hernia.
- Author
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Hernández-López, Urías De Jesús, Vargas-Buelvas, Audrey, Muñoz-Murillo, Willfrant Jhonnathan, Muñoz-Murillo, Katherine Lizeth, Nuñez-Rojas, Gian, and Rahman, Sabrina
- Abstract
Congenital hernias occur 70% on the right side, 25% on the left side, and approximately 5% bilaterally. The finding of a congenital Amyand's hernia is of interest, especially in patients who do not present risk factors associated with connective tissue disorders, ascitic conditions, fetal developmental disorders or any condition that increases abdominal pressure. Male patient, 6 months old, was brought to the pediatric surgery department due to a visible mass in the bilateral inguinal region, which protruded with crying. The parents report that he was a 36-week preterm, low birth weight, monochorionic monoamniotic twin with bilateral congenital inguinal hernia. An open herniorrhaphy was performed, showing a left communicating hydrocele with an indirect left inguinal hernia and right communicating hydrocele with indirect inguinal hernia containing cecal appendix with no signs of inflammation. The most common clinical presentation is the presence of a reducible or irreducible mass, erythema and/or inguino-scrotal edema, irritability manifested by crying and recurrent pain in older infants. This condition may be associated with cryptorchidism, intrauterine structural developmental disorder, and the presence of fistulas. Appendectomy and traditional hernia reduction are the most common surgical approach. The evolution of this condition is favorable with extremely low complication rates. Amyand's hernia in the neonate is a rare presenting condition, which frequently involves nearby structures with risk of inflammation, incarceration and perforation, so repair should be performed early. • Currently there are controversies in the approach of congenital inguinal hernias. • The overall outcome in the management of congenital hernia is favorable. • Traditional hernia management for congenital Amyand's hernia has good results. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
233. Review Article: Appendicitis In Groin Hernias.
- Author
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Meinke, Alan K.
- Subjects
- *
APPENDICITIS , *HERNIA , *GROIN , *PATIENTS , *DEATH , *TOMOGRAPHY - Abstract
To review the clinical presentation, outcome and causes of acute appendicitis presenting within a groin hernia. A comprehensive review of the past 70 years of English language surgical literature was conducted pertaining to acute appendicitis presenting within an inguinal or femoral hernia. Thirty-four reports describing 45 patients were reviewed to determine age, position, gender, pathologic stage at presentation, causal suppositions, and clinical outcomes. Hernial appendicitis presented as an inguinal abscess or a tender inguinal mass, often in the femoral position, and most commonly at the extremes of age. It was almost never recognized preoperatively, and, because of the sequestered nature of the inflammatory process, presented with few classic systemic signs or symptoms suggestive of acute appendicitis. Advanced pathologic stage and death correlated with the patient's age, delay in presentation, and delay in recognition. Evaluation of an inguinal abscess or a nonreducible tender groin hernia presenting in a patient at the extremes of age, should include computed tomography to rule out an occult acute appendicitis within the hernia, as systemic signs and symptoms of appendicitis are rarely evident. The condition appears to be caused by inflammatory adhesions caused by appendicitis occurring within an enlarged hernial orifice rather than appendicitis caused by external compression of the appendix base. Early recognition of this unique presentation of appendicitis allows trans-hernial appendectomy and immediate herniorraphy. Delayed diagnosis requires drainage of abscess with appendectomy and interval hernia repair. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
234. Left-sided incarcerated Amyand’s hernia with cecum and terminal ileum: a case report
- Author
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Desalegn Markos and Kebebe Bekele
- Subjects
medicine.medical_specialty ,mobile cecum ,Amyand’s hernia ,digestive system ,Amyand's hernia ,03 medical and health sciences ,Cecum ,0302 clinical medicine ,medicine ,case report ,Hernia ,ligation ,Groin ,business.industry ,General surgery ,General Medicine ,medicine.disease ,appendectomy ,Appendix ,Appendicitis ,digestive system diseases ,Inguinal hernia ,medicine.anatomical_structure ,surgical procedures, operative ,030220 oncology & carcinogenesis ,inguinal hernia ,030211 gastroenterology & hepatology ,Incarcerated Inguinal Hernia ,business - Abstract
Background Amyand's hernia, which is the presence of a normal or pathological appendix as a part of an inguinal hernia, is a rare clinical entity. We are reporting a very rare case of left-sided incarcerated Amyand's hernia with cecum and terminal ileum involvement. Case presentation A 4-year-old male child with left inguinal swelling of 2-year duration presented to Goba Referral Hospital. Two days before the patient visited our hospital, the swelling had become irreducible and caused severe groin pain. He had abdominal cramps, bilious vomiting, and mild abdominal distention, but passed feces. With the diagnosis of left-sided incarcerated inguinal hernia, the patient was investigated and prepared for surgical management. During the operative procedure, we identified the presence of appendix, cecum, and terminal ileum in the scrotum as the herniated component. After the sack was dissected, since there was also appendicitis, an appendectomy was performed. Then, high ligation of sack was done after cecum and ileum were reduced. After 3 uneventful postoperative days in the hospital, the patient was discharged. The patient was followed-up for 6 months, and he did not develop any complications. Conclusion Left-sided incarcerated Amyand's hernia with cecum and terminal ileum involvement is a rare clinical entity. Even though it is not common, appendicitis is one of the comorbidities that can be seen in patients with left-sided incarcerated Amyand's hernia with cecum and terminal ileum. Surgeons should have a high index of clinical suspicion and be aware of the potential involvement of appendix, cecum, and ileum as part of an incarcerated hernia during surgery, even in the left inguinal region. In this case, left-sided incarcerated inguinal hernia which involved inflamed appendix, cecum, and terminal ileum was successfully managed using an inguinal approach.
- Published
- 2017
235. Ipsilateral Aymand's and Richter's hernia, complicated by necrosing fascitis.
- Author
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Osorio, Javier Kuri, Guzmán-Valdivia, G., and Guzmán-Valdivia, G
- Subjects
- *
INGUINAL hernia , *PATHOLOGY , *HERNIA surgery , *HERNIA , *HERNIA treatment , *DEBRIDEMENT , *NECROTIZING fasciitis , *DISEASE complications , *SURGERY - Abstract
This study presents the case of a patient with necrobiosis or necrosing fascitis of the inguinal region, secondary to a complicated Amyand's hernia with a concomitant ipsilateral Richter's hernia. The patient was treated with open trans-abdominal surgery and hernia repair through the pre-peritoneal approach, plus anti-microbians, and thrice-daily wound cleansing and dressings to the inguinal region. Evolution was satisfactory. There are no reports in the literature of a case such as this. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
236. Acute scrotal swelling caused by scrotal suppurative appendicitis in a young infant: A case report
- Author
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Mohammed Shawky, Ramaswamy Rajendran, Rayan Ahmed Baz, and Ghazi Mukttash
- Subjects
endocrine system ,medicine.medical_specialty ,endocrine system diseases ,Erythema ,Acute scrotum ,lcsh:RC870-923 ,urologic and male genital diseases ,Amyand's hernia ,scrotal appendicitis ,patent processus vaginalis ,Medicine ,Hernia ,urogenital system ,business.industry ,General surgery ,Suppurative appendicitis ,lcsh:Diseases of the genitourinary system. Urology ,medicine.disease ,Appendicitis ,Surgery ,Inguinal hernia ,Scrotal swelling ,medicine.symptom ,business - Abstract
A 70d old infant who had reducible bilateral inguinal hernia was found to have acute bilateral scrotal swelling, erythema and tenderness without intestinal obstruction. Radiography and ultrasonography studies detected right side inguinoscrotal hernia. With a diagnosis of strangulated inguinal hernia on right side, exploration was done. Amyand's hernia and acute scrotal appendicitis were found. Appendectomy, bilateral inguinal herniotomy and scrotal fixation of testes were done. Scrotal appendicitis is an exceptionally rare cause of acute scrotum in young infants. Scrotal manifestations and scrotal complications of acute appendicitis in children are reviewed. This case stresses the need for emergency exploration of acute scrotum in which there is diagnostic dilemma.
- Published
- 2017
237. A rare case of low-grade appendiceal mucinous neoplasm within an incarcerated Amyand’s hernia
- Author
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Maria Olim Sousa, Laurentina Silva, Sara Silva, Diana Fernandes, Ricardo Cabrita Viveiros, and Susana Nóbrega
- Subjects
medicine.medical_specialty ,Low Grade Appendiceal Mucinous Neoplasm ,business.industry ,General surgery ,General Engineering ,medicine.disease ,Amyand's hernia ,Appendix ,Surgery ,Inguinal hernia ,medicine.anatomical_structure ,Rare case ,medicine ,Mucocele ,business - Abstract
Introduction: We report a rare case of low-grade appendiceal mucinous neoplasm (LAMN) within an incarcerated Amyand’s hernia. Case Report: he patient was admitted for an elective surgery due to an asymptomatic right-sided inguinal hernia. The operative findings were suggestive of an appendiceal mucocele. Appendectomy and herniorrhaphy were performed. The histology report revealed a low-grade appendiceal mucinous neoplasm. The patient had no clinical, biochemical or imaging signs of disease or hernia recurrence two years postoperatively. Conclusion: Surgical treatment involves appendectomy and hernia repair, which is performed without the implantation of synthetic mesh. The possibility of finding an incidental neoplasm should be considered during the surgery of an Amyand’s hernia.
- Published
- 2017
238. An unusual inguinal hernia presentation in an infant: Amyand's hernia with acute appendicitis.
- Author
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Alıcı, Çiğdem Arslan
- Subjects
APPENDICITIS ,INFLAMMATION ,APPENDECTOMY ,VISUALIZATION ,HERNIA surgery - Abstract
Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
- View/download PDF
239. A Case of Amyand’s Hernia with Abscess Diagnosed by Computed Tomography Preoperatively
- Author
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Hitoshi Hara, Nobuo Tachikawa, and Hiroki Sato
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,General Earth and Planetary Sciences ,Medicine ,Computed tomography ,Radiology ,business ,Abscess ,medicine.disease ,Amyand's hernia ,General Environmental Science - Published
- 2017
240. A Rare Case of Laparoscopic Surgery for Internal Surpravesical Type of Amyand’s Hernia
- Author
-
Shuichi Ohashi, Yoshihito Souma, Jun Yasuda, and Takeyoshi Yumiba
- Subjects
Laparoscopic surgery ,medicine.medical_specialty ,business.industry ,General surgery ,medicine.medical_treatment ,Rare case ,Medicine ,business ,medicine.disease ,Amyand's hernia - Published
- 2017
241. Irreducible inguinal hernia and acute appendicitis: a case of Amyand's hernia
- Author
-
Huong P. T. Nguyen, Lee S. Kyang, and Valerie See
- Subjects
medicine.medical_specialty ,Irreducible inguinal hernia ,business.industry ,General surgery ,Hernia, Inguinal ,General Medicine ,Appendix ,Appendicitis ,medicine.disease ,Amyand's hernia ,Acute Disease ,Acute appendicitis ,medicine ,Appendectomy ,Humans ,Surgery ,business - Published
- 2020
242. Claudius Amyand's Hernia a Rare Cause of Acute Scrotum a Case Report
- Author
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Coulibaly Om Amadou I, Coulibaly Y Diaby S, Kone I Traore M, Kamate B Malle K, Kone D Dembele B, Coulibaly Mb Diouf C, Kone J Coulibaly Y, and Dao M Keita M
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,medicine ,Acute scrotum ,General Medicine ,medicine.disease ,business ,Amyand's hernia - Published
- 2020
243. A rare case report of appendix and cecum in the sac of left inguinal hernia (left Amyand’s hernia)
- Author
-
Ali Ghafouri, Taha Anbara, and Raheleh Foroutankia
- Subjects
Appendix ,Amyand’s hernia ,Medicine (General) ,R5-920 - Abstract
Abstract This case is a rare aspect of left inguinal hernia. The patient was a 60-years old man with left scrotal mass since childhood. In the operating room, the hernia sac was opened which included cecum and appendix that is called left Amyand`s hernia. The patient underwent herniorrhaphy with Lichtenstein repair.
- Published
- 2012
244. Amyand′s hernia presenting as chronic scrotal sinus
- Author
-
Prashant Jain and Ashwani Mishra
- Subjects
Amyand′s hernia ,scrotal sinus ,vermiform appendix ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
A rare case of Amyand′s hernia in an infant who presented with chronic discharging scrotal sinus is reported.
- Published
- 2012
- Full Text
- View/download PDF
245. An unusual foreign body in an inguinal hernia sac: Case report and literature review
- Author
-
Go Miyano, Toshiaki Takahashi, Tsubasa Takahashi, Geoffrey J Lane, Yoshifumi Kato, Tadaharu Okazaki, and Atsuyuki Yamataka
- Subjects
Amyand′s hernia ,dressmaker′s pin ,inguinal hernia repair ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
A 13-month-old boy accidentally ingested a 5 cm dressmaker′s pin. On presentation, the pin was in the duodenum and there was a right inguinal hernia. After 17 days, the pin failed to progress. At surgery, the sac contained appendix perforated by the pin. This is the first case in the literature.
- Published
- 2012
- Full Text
- View/download PDF
246. The routine use of mesh and the role of appendectomy for the Amyand’s hernia cases
- Author
-
Mehmet Mihmanli, Pinar Yazici, Cemal Kaya, Uygar Demir, Emre Bozkurt, and Ufuk Oguz Idiz
- Subjects
Surgical repair ,medicine.medical_specialty ,business.industry ,General surgery ,General Medicine ,medicine.disease ,digestive system diseases ,Amyand's hernia ,Appendix ,Inguinal hernia ,surgical procedures, operative ,medicine.anatomical_structure ,Hernia surgery ,Emergency surgery ,medicine ,Hernia ,business ,Complication - Abstract
Objective: Amyand’s hernia is described as the presence of vemiform appendix in the inguinal hernia sac and this condition is mostly incidental. The aim of this retrospective analysis was to evaluate the role of appendectomy and the mesh repair in the patients with Amyand’s hernia. Material and Methods: The clinical and laboratory findings, and treatment modalities of 12 patients with Amyand’s hernia among 6630 inguinal hernia patients who underwent surgery between January 2000 and May 2015, were retrospectively recorded. Moloney darn repair was performed in the patients who had inflamed appendix whereas Lichtenstein repair was performed in the patients who had non-inflamed appendix. Results: All of the patients were male with a mean age of 48.9 years (range 28-67 years). The most common symptoms and pain in the patients were swelling of the right inguinal area and pain. Three patients underwent emergency surgery due to incarcerated right inguinal hernia while remaining nine patients underwent elective surgical repair. The diagnosis of Amyand’s hernia was made during hernia surgery and routine appendectomy was performed in all patients. The only complication was the wound infection which was observed in the patient with perforated appendicitis (8.3%). The mean follow-up period was 80.4 months (range: 8-180 months) and there were no recurrent cases. Conclusion: The appendectomy can be performed safely in the patients with Amnyand’s hernia. The repair for inguinal hernia may provide satisfactory results in the absence of inflammation.
- Published
- 2016
247. Amyand's hernia with perforated appendix complicated by necrotizing fasciitis
- Author
-
Thomas Surya Suhardja, Alice Lee, Asiri Arachchi, and William Jiang
- Subjects
medicine.medical_specialty ,Hernia ,business.industry ,General surgery ,Hernia, Inguinal ,General Medicine ,Appendix ,Perforated appendix ,Appendicitis ,medicine.disease ,Amyand's hernia ,medicine ,Appendectomy ,Humans ,Surgery ,Fasciitis, Necrotizing ,Fasciitis ,business - Published
- 2019
248. An unusual inguinal hernia presentation in an infant: Amyand's hernia with acute appendicitis
- Author
-
Çiğdem Arslan Alici
- Subjects
medicine.medical_specialty ,appendicitis ,Medicine (General) ,apendektomi ,RD1-811 ,amyand’s hernia ,digestive system ,Amyand's hernia ,R5-920 ,medicine ,Hernia ,business.industry ,infants ,General surgery ,medicine.disease ,appendectomy ,Appendicitis ,Appendix ,digestive system diseases ,Inguinal hernia ,stomatognathic diseases ,medicine.anatomical_structure ,surgical procedures, operative ,i̇nfant ,Acute appendicitis ,amyand herni ,Medicine ,Hernia sac ,Surgery ,Presentation (obstetrics) ,business ,apandisit - Abstract
Amyand's hernia is a rare condition defined as the presence of appendix vermiformis within the hernia sac, and it constitutes 1% (0.19-1.7%) of all inguinal hernias. Inflammation of the appendix within the inguinal sac is rarer, comprising 0.1% (0.07-0.13) of all Amyand’s hernia cases. Although the clinical presentation of the disease varies depending on the inflammation of the appendix, the diagnosis is usually made during the operation. We herein present a 2-month-old male patient who underwent appendectomy during right inguinal herniotomy after visualization of the inflamed appendix adhering to the wall of the hernia sac.
- Published
- 2019
249. Amyand’s Hernia in a 76-year-old Greek Male
- Author
-
N. Zacharis, G. Zacharis, P. Dimitriou, Charalampos Potsios, and P. Xaplanteri
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,Emergency department ,medicine.disease ,humanities ,digestive system diseases ,Amyand's hernia ,Appendix ,stomatognathic diseases ,03 medical and health sciences ,Inguinal hernia ,surgical procedures, operative ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,medicine ,030211 gastroenterology & hepatology ,Hernia ,business - Abstract
The presence of an inflamed or non-inflamed appendix in an inguinal hernial sac is called Amyand’s hernia and it is a rare condition. The case is presented here of a 76-year-old Greek male with a known right reducible inguinal hernia, who presented at the hospital emergency department with the symptoms and signs of incarceration of the hernia. Intraoperatively, an inflamed appendix was revealed trapped in the hernial sac. To our knowledge this is the first case of Amyand’s hernia reported in a patient in Southwestern Greece.
- Published
- 2018
250. Amyand’s hernia with acute gangrenous appendicitis and cecal perforation: A case report and review of the literature☆
- Author
-
Charles J. Fox, Aline S. Rau, and William Kromka
- Subjects
medicine.medical_specialty ,Hernia ,Exploratory laparotomy ,medicine.medical_treatment ,Perforation (oil well) ,SCARE, surgical case report ,Amyand's hernia ,Article ,03 medical and health sciences ,TEP, totally extraperitoneal ,0302 clinical medicine ,Case report ,medicine ,030212 general & internal medicine ,business.industry ,food and beverages ,Amyand ,Ileocecectomy ,medicine.disease ,Hernia repair ,HAART, highly active antiretroviral therapy ,Appendicitis ,digestive system diseases ,Appendix ,AIDS, acquired immunodeficiency syndrome ,Surgery ,CT, computed tomography ,HIV, human immunodeficiency virus ,stomatognathic diseases ,Inguinal hernia ,surgical procedures, operative ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,HCV, hepatitis C virus ,ED, emergency department ,business - Abstract
Highlights • Presentation of a rare case of an Amyand’s hernia containing acute appendicitis and a perforated cecum. • Diagnosis was intraoperative and an ileocecectomy followed by Bassini hernia repair produced a favorable patient outcome. • Amyand’s hernias can contain a diverse range of features and presentations that can complicate diagnosis and treatment. • Our case underscores the importance of considering an Amyand’s and individualizing treatment based on operative findings., Introduction An Amyand's hernia is a heterogeneous clinical condition defined by the presence of the vermiform appendix within an inguinal hernia sac, which may or may not contain other abdominal contents or pathologic inflammatory changes. Herein we present an exceptionally rare case of an Amyand's hernia containing acute appendicitis and a perforated cecum. Presentation of case A 46-year-old male with a right inguinal hernia of 2–3 year duration presented to our Emergency Department complaining of acute onset abdominal and groin pain. The patient was diagnosed with an incarcerated right inguinal hernia and underwent emergent surgical repair. Intraoperatively a reactive fluid was found within the hernia sac that prompted an exploratory laparotomy for suspected bowel perforation. The hernia was then found to contain an inflamed gangrenous appendix with an inflamed and perforated cecum. An ileocecectomy and enteroenterostomy was performed and the hernia defect was repaired without mesh. Discussion With an estimated incidence of only 1%, Amyand's hernias are rare and lack a clear evidence-based management scheme. Moreover, they can contain a diverse range of pathologic features and presentations that can complicate diagnosis and treatment. To avoid potential morbidity and mortality, the surgeon must consider an Amyand's hernia on his or her differential when operating on inguinal hernias and be aware of the associated presentations, complications, and management schemes. Conclusion There is a paucity of reports describing simultaneous appendicitis and cecal perforation within an Amyand's hernia. In our case, ileocecectomy and Bassini hernia repair with close follow-up led to a favorable outcome.
- Published
- 2018
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