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A case report of incarcerated inguinal hernia: Amyand’s hernia with adenocarcinoma tumor
- Source :
- International Journal of Surgery Case Reports
- Publication Year :
- 2021
- Publisher :
- Elsevier, 2021.
-
Abstract
- Highlights • Amyand’s hernia is an inguinal hernia that contains vermiform appendix in its sac. Diagnosis is, in the majority of cases, intrasurgical. • Many authors suggest that prophylactic appendectomy is not necessary when the appendix is found without signs of inflammation. • Adenocarcinoma of the appendix is extremely rare neoplasm. Right hemicolectomy is the treatment of choice for such tumors. • The evidence concerning hernial repair without mesh in the context of potential contamination is controversial.<br />Introduction Inguinal hernia is one of the most common surgical problems, often posing technical challenges even to expert surgeons. Amyand’s hernia (AH) is an inguinal hernia whose sac contains the vermiform appendix. Primary appendiceal neoplasms are rare. We report the case of an appendiceal adenocarcinoma within an Amyand’s hernia, presenting as an incarcerated right inguinal hernia. Presentation of case A 87-year-old male presented in the emergency department due to a persistent right inguinal pain. Clinical examination revealed a tender right groin mass. Under the diagnosis of an right inguinal hernia, an 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 ileocecal resection and a modified Bassini hernia repair. Histological examination revealed a adenocarcinoma of the appendix. Discussion Amyand’s hernia is an inguinal hernia that contains vermiform appendix in its sac. It consists 1% of all inguinal hernias while appendicitis in an Amyand’s hernia accounts for 0.1% of all appendicitis cases. Adenocarcinomas of the appendix are even rarer, accounting for 0.2% to 0.5% of all intestinal malignancies, and 4%–6% of primary appendiceal neoplasms. Diagnosis is usually established intraoperatively. 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.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Amyand’s hernia
Case Report
030230 surgery
digestive system
Amyand's hernia
03 medical and health sciences
0302 clinical medicine
Medicine
Hernia
Vermiform
business.industry
General surgery
Inguinal hernia
Right hemicolectomy
Hernia repair
medicine.disease
Appendix
Appendicitis
digestive system diseases
Adenocarcinoma of the appendix
stomatognathic diseases
medicine.anatomical_structure
surgical procedures, operative
030220 oncology & carcinogenesis
Surgery
Incarcerated Inguinal Hernia
business
Subjects
Details
- Language :
- English
- ISSN :
- 22102612
- Volume :
- 81
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....edb771d1575f71f487acf1c4ab465c84