A case of a strangulated umbilical hernia causing gangrenous appendicitis

Huntington, Justin T.; Mansfield, Sara A.; Drosdeck, Joseph M.; Zhang, Gary; Evans, David C.

doi:10.1007/s00384-015-2412-6

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…The total incidence of acute appendicitis in the contents of any hernia sac is estimated at 0.13% of all acute appendicitis presentations 2. In addition, there are only five cases of appendicitis in a paraumbilical or umbilical hernia in adults reported in literature 3–7…”

Section: Discussionmentioning

confidence: 99%

Appendicitis within the contents of an incarcerated paraumbilical hernia

Zormpa

Alfa-Wali²,

Chung

2019

BMJ Case Rep

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Section: Discussionmentioning

confidence: 99%

Appendicitis within the contents of an incarcerated paraumbilical hernia

Zormpa

Alfa-Wali²,

Chung

2019

BMJ Case Rep

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“…4 While the commonest location for this is in the groin, especially in inguinal and femoral hernias (called De Garengeot's hernia), cases have also been described in spigelian, umbilical, obturator and incisional hernias. [5][6][7][8] The exact mechanism by which the appendix becomes incarcerated into the hernia is unknown, but it may be attributed to underlying hypermobility of the cecum, situs inversus (presenting with left-sided AH), or malrotation during embryonic development. In cases of incisional hernias such as ours, the cause is more likely progressive inflammation leading to adhesion formation from previous surgery.…”

Section: Discussionmentioning

confidence: 99%

Perforated appendicitis with peri-appendicular abscess within an incisional hernia: a report of an unusual case

Kabir¹,

Yong²

2018

Int Surg J

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Amyand’s hernia is a rare phenomenon referring to the presence of an appendix within an inguinal hernia. Hernial appendicitis occurs even more rarely in 0.07-0.13% of cases. Cases have been described in incisional hernias of laparoscopic port sites, nephrectomies and various other incisions. Author described an unusual case of an elderly lady who presented with nausea, fever and a tender abdominal mass over a previous paramedian incision. She was thought to have an incarcerated incisional hernia and was counselled for emergency surgical repair. Intra-operatively, she was found to have a perforated appendicitis with a large peri-appendicular abscess within an incisional hernia. The base of the appendix was unhealthy thus a limited right hemicolectomy was performed and the hernia was repaired primarily. Such cases present atypically and present a diagnostic challenge. Delays in recognition and timely intervention may lead to high morbidity and mortality. The authors hoped to raise awareness of this condition and contribute to the medical literature surrounding this unusual pathology.

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Letter to the Editor: Case of Appendix Incarcerated in an Umbilical Hernia

Sidhwa

2020

Journal of Laparoendoscopic & Advanced Surgical Techniques

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A case of a strangulated umbilical hernia causing gangrenous appendicitis

Cited by 3 publications

References 4 publications

Appendicitis within the contents of an incarcerated paraumbilical hernia

Appendicitis within the contents of an incarcerated paraumbilical hernia

Perforated appendicitis with peri-appendicular abscess within an incisional hernia: a report of an unusual case

Letter to the Editor: Case of Appendix Incarcerated in an Umbilical Hernia

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