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Appendectomy or not in middle-aged male with non-inflamed appendix in Amyand’s hernia? Case report and literature review☆
- Source :
- International Journal of Surgery Case Reports
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
Abstract
- Highlights • Amyand’s hernia management remains controversial. • Use of mesh or not in Amyand’s hernia. • Role of CT scan in diagnosis of Amyand’s hernia. • Literature review of Amyand’s hernia and classification systems.<br />Introduction An Amyand’s hernia is a rare disease where a vermiform appendix is found within an inguinal hernia sac. It is reported in the literature as having an incidence between 0.4%–1.0% of reported hernia cases. Typically, an incidental finding, Amyand’s hernia is consequently found more frequently intra-operatively rather than preoperatively. Presentation of case This case is a recount of a 56-year-old male, who presented in an outpatient setting for the evaluation of right inguinal pain and bulge. The patient was diagnosed with a vermiform appendix within the indirect hernia. The patient underwent elective repair of his inguinal hernia via Transabdominal Preperitoneal (TAPP) approach of the hernia with avoidance of appendectomy. Discussion An Amyand’s hernia presents a challenging diagnosis and the treatment algorithm is contingent on the condition of the appendix in individual cases. This case presents a Type 1 Amyand’s hernia that was repaired through laparoscopic approach using prosthetic mesh. The aim of this case study highlights the approach to surgical decision making in the diagnosis and treatment of Amyand’s hernia proposed in the current literature. Conclusion This case presents a rare condition known as Amyand’s hernia followed by a discussion on the epidemiology, diagnostic workup, and treatment options. Treatment is dependent on the state of the appendix found in the hernia sac and the clinical scenario. Comprehensive literature review shows that the true prevalence of this disease is lower than classically described and still has no clear standardized approaches.
- Subjects :
- medicine.medical_specialty
Amyand’s hernia
Amyand's hernia
03 medical and health sciences
0302 clinical medicine
Case report
medicine
Appendectomy
Hernia
Transabdominal preperitoneal
Vermiform
Literature review
business.industry
General surgery
Inguinal hernia
medicine.disease
Classification
Appendix
digestive system diseases
stomatognathic diseases
medicine.anatomical_structure
surgical procedures, operative
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Surgery
Presentation (obstetrics)
business
Rare disease
Subjects
Details
- Language :
- English
- ISSN :
- 22102612
- Volume :
- 77
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....bebc922804c109b4367a1d7058d96f99