A case report of Amyand hernia—radiological diagnosis and literature review

Hussain, Mohamed Rafi Kathar; Kulasekeran, N.

doi:10.1186/s43055-020-00346-4

Cited by 7 publications

(7 citation statements)

References 12 publications

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“…While the incidence of this type of hernia is rare, the appendix may remain within the inguinal hernia without symptoms or become inflamed, infected, strangulated or perforated with symptoms. 5–8 Although incarceration of the appendix within an inguinal hernia does not necessarily lead to appendicitis, this combination of events is not uncommon. 9 Several complications of Amyand hernias have been reported in the literature spanning from non-complicated appendicitis, 10 to abscess formation, 11 perforation and consequential necrotising fasciitis.…”

Section: Discussionmentioning

confidence: 99%

Perforated Amyand hernia with an adenocarcinoma tumour presenting as a groin abscess

Gbegli,

Miremadi,

Serrao

et al. 2024

BJR|Case Reports

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An Amyand’s hernia is an incarcerated inguinal hernia containing the appendix with or without appendicitis. This is a rare form of inguinal hernia, making up approximately 0.4—1% of all cases 1. As with any hernia, this may become strangulated at any time, leading to the loss of blood supply and further development of gangrene and complications. Clinically, this can present in a manner indistinguishable from other types of inguinal hernias. In addition, the appendix can be affected by its own set of pathological processes, such as infection, inflammation and malignancy. Not uncommonly both hernial and appendiceal complications coexist. The clinical diagnosis of an Amyand’s hernia remains challenging due to its low incidence and indistinct clinical presentation. At present, surgery is usually diagnostic and therapeutic. However, there is a growing number of recent reports showing the invaluable role of imaging on the diagnosis of Amyand’s hernias and associated complications 2 3. The correct and timely recognition of their imaging features including complications can optimise and expedite patient care by guiding diagnosis, treatment and prognosis. Here, we report for the first time the radiological and pathological findings of a patient with a unique complicated Amyand’s hernia, which posed a diagnostic challenge for the clinical and radiological teams.

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Section: Discussionmentioning

confidence: 99%

Perforated Amyand hernia with an adenocarcinoma tumour presenting as a groin abscess

Gbegli,

Miremadi,

Serrao

et al. 2024

BJR|Case Reports

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“…Amyand’s hernia is found almost exclusively in males and usually occurs on the right side [ 2 , 8 ]. Left-sided Amyand’s hernia has been described but is an exceptionally rare occurrence and usually results from bowel malrotation, situs invertus totalis, or a highly mobile caecum [ 9 ]. Due to anatomical differences (patency of processus vaginalis) it is three times as common in children [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Signs of inflammation include increased luminal diameter, fluid collection, peri-appendicular fat stranding and caecal thickening. Ultrasound may also demonstrate the presence of a blind-ending, non-compressible loop within an inguinal hernial sac; inflammation is suspected by finding a dilated appendix lumen (luminal diameter >7.2mm), an increased vascularity of the wall and tenderness on compression [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia: A Radiological Solution of a Surgical Dilemma

Raj¹,

Andrews²,

Sood³

et al. 2023

Cureus

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Amyand's hernia is a rare condition whereby the appendix lies within the sac of an inguinal hernia; rarer still, the appendix can become inflamed (acute appendicitis) and is frequently misdiagnosed as a strangulated inguinal hernia. We report a case of Amyand's hernia complicated with acute appendicitis. In this case an accurate preoperative diagnosis was provided by a preoperative Computerised Tomography (CT) scan, permitting planning of treatment by a laparoscopic approach.

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“…CT scan is considered an accurate imaging modality for preoperative diagnosis of Amyand's hernia in adults. Also, an ultrasound scan can show specific features of Amyand's hernia as the presence of a non-compressible, dilated, blind-ending bowel loop with a luminal diameter of more than 7.2 mm, within the inguinal canal with or without surrounding inflammation, which can be used for preoperative diagnosis in pediatric patients [ 12 ].…”

Section: Discussionmentioning

confidence: 99%