Hérnia de Amyand

Cunha, Hercio Azevedo de Vasconcelos; Sugahara, Ricardo Dutra; Castilho, Michel Victor

doi:10.1590/s0100-69912009000300019

Cited by 7 publications

(1 citation statement)

References 2 publications

(5 reference statements)

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“…In a review of 18 cases, the median age was 42 years, with the oldest age noted in literature being 89 years. However, age of these cases ranges from 3 weeks to 88 years [12]. It is more common in men and almost always on the right side probably because of the normal anatomical position of the appendix and also because right sided inguinal herniae are more common.…”

Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia: Rare Presentation of a Common Ailment

Singhal

Negi

et al. 2015

Case Reports in Gastrointestinal Medicine

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Inguinal hernia with vermiform appendix as content is known as Amyand's hernia. It is a rare entity but we encountered four cases within six months. A 52-year-old female had high grade fever and evidence of inflammatory pathology involving the ileocaecal region. She was initially managed conservatively and subsequently underwent exploratory laparatomy. The appendix was perforated and herniating in the inguinal canal. Appendectomy was done with herniorrhaphy without mesh placement. A 74-year-old male with bilateral inguinal hernia, of which, the right side was more symptomatic, underwent open exploration. Operative findings revealed a lipoma of the sac and a normal appearing appendix as content. Contents were reduced without appendectomy and mesh hernioplasty was performed. A 63-year-old male with an obstructed right sided hernia underwent emergency inguinal exploration which revealed edematous caecum and appendix as content without any inflammation. Contents were reduced without any resection. Herniorrhaphy was performed without mesh placement. A 66-year-old male with an uncomplicated right inguinal hernia underwent elective surgery. The sac revealed an appendix with adhesions at the neck. Contents were reduced after adhesiolysis and hernioplasty was performed with mesh placement. Emphasis is made to the rarity of disease, variation in presentation, and difference in treatment modalities depending upon the state of appendix.

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Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia: Rare Presentation of a Common Ailment

Singhal

Negi

et al. 2015

Case Reports in Gastrointestinal Medicine

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Endometriosis of the Vermiform Appendix within a Hernia Sac Infiltrating the Pubic Bone

Ziaja

Bolkowski

Januszewski

et al. 2015

Case Reports in Surgery

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Purpose. Appendicular endometriosis mimicking appendicitis is a rare finding. Inguinal tumor in the course of appendicular endometriosis located within an inguinal hernia sac and infiltrating the periosteum of the pubic bone has not yet been described. Case Report. This paper describes a case of a rapidly enlarging, solid, unmovable, very painful upon palpation inguinal tumor, in a 36-year-old nulliparous woman. During surgery, a hard (approximately 4 cm in diameter) tumor infiltrating the periosteum of the right pubic bone and continuous with the inguinal hernia sac was dissected. The distal segment of the vermiform appendix was an element of the dissected tumor. Histological examination revealed endometriosis of the distal vermiform appendix. After 6 months of hormone treatment, she was referred for reoperation due to tumor recurrence. Once again histological examination of the resected tissue revealed endometriosis. There was no further recurrence of the disease with goserelin therapy. In addition to the case report, we present a review of the literature about endometriosis involving the vermiform appendix and the inguinal canal (Amyand's hernia). Conclusion. This case expands the list of differential diagnoses of nodules found in the inguinal region of women.

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Amyand’s Hernia with Appendicitis: A Case Report and Integrative Review

Cavalcante

Batista

Neto

et al. 2015

Case Reports in Surgery

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Introduction. Inguinal hernia is a common disorder with an estimated prevalence of 1.2% of the entire population and it is 12 times more common in males. Objective. To describe a case of appendix with signs of inflammation in the hernia sac, condition that is rare and difficult to diagnose, and to perform literature review, describing the most relevant aspects and the main controversies. Method. Report of a case and search in PubMed on June 1, 2015, using the terms “Appendix” [MeSH term] AND “hernia, inguinal” [MeSH term]. Results. The search resulted in 38 articles in total, and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Discussion. The search resulted in a total of 38 articles and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Conclusion. Amyand's hernia is a rare and difficult to diagnose condition, being commonly found occasionally in surgical procedures. It should be remembered in the presence of cases of incarcerated hernia, due to its possible complications if not diagnosed.

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Hérnia de Amyand

Cited by 7 publications

References 2 publications

Amyand’s Hernia: Rare Presentation of a Common Ailment

Amyand’s Hernia: Rare Presentation of a Common Ailment

Endometriosis of the Vermiform Appendix within a Hernia Sac Infiltrating the Pubic Bone

Amyand’s Hernia with Appendicitis: A Case Report and Integrative Review

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