A Rare Variation of Amyand?s Hernia: Gangreneous Appendicitis in an Incarcerated Inguinal Hernia Sac

Barut, İbrahim; Tarhan, Ömer Rıdvan

doi:10.29333/ejgm/82588

Cited by 13 publications

(18 citation statements)

References 10 publications

(9 reference statements)

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“…[4] Although the clinical presentation is not usually similar to classical acute appendicitis cases, it is in the form of non-reducible painful inguinal swelling. [3] It is difficult to diagnose Amyand hernia with Acute Appendicitis in the preoperative period. Therefore, it is necessary to perform USG or CT imaging in the presence of such suspicion.…”

Section: Discussionmentioning

confidence: 99%

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Complicated Acute Appendicitis Accompanying Amyand's Hernia

Ergin¹

2019

bogazicitip

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Amyand's hernia is a very rare form of hernia in the inguinal hernia sac. Presently described is a case of Amyand's hernia complicated by acute appendicitis. A 62-year-old male patient presented at the emergency department with complaints of pain in the right inguinal region. He had acute appendicitis in the right inguinal hernia. An appendectomy was performed. Due to the high risk of infection, a mesh application was avoided. The patient was discharged on the first postoperative day. The incidence of Amyand's hernia accompanied by acute appendicitis is quite low. The current literature generally does not recommended an Amyand's hernia mesh repair with a laparoscopic appendectomy in the presence of acute appendicitis. In this case, the appendectomy was completed laparoscopically and the hernia sac was repaired intraperitoneally with primary suturing. ÖZETAmyand herni; inguinal herni kesesi içerisinde appendiksin görüldüğü çok nadir görülen bir fıtık çeşididir. Bu çalışmamızda Akut Apandisit ile komplike olmuş bir Amyand herni vakasını sunmaktayız. Acil servise sağ inguinal bölgede ağrı şikayetiyle başvuran 62 yaşında erkek hastada peroperatif olarak sağ inguinal herni kesesi içerisinde gelişen Akut Apandisit görünümü saptandı. Appendektomi işlemi uygulandı. Enfekte olma riski yüksek olduğundan dolayı herhangi bir mesh uygulamasından kaçınıldı. Hasta postoperatif birinci günde taburcu edildi. Akut Apandisitin eşlik ettiği Amyand Herni görülme sıklığı oldukça düşük bir durumdur. Mevcut literatürlere bakıldığında Laparoskopik Appendektomi ile eş zamanlı Amyand herni onarım bölgesine mesh konulması önerilmemektedir. Bu olgumuzda appendektomi laparoskopik olarak tamamlanmış ve herni kesesi intraperitoneal olarak primer süturasyon yardımıyla onarılmıştır.Anahtar sözcükler: Akut apandisit; Amyand herni; appendektomi.

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Section: Discussionmentioning

confidence: 99%

“…Amyand hernia rate complicated by acute appendicitis was found to be approximately between 0.08% and 0.13%. [3] In this study, we present a case of Amyand hernia complicated by acute appendicitis.…”

mentioning

confidence: 99%

Complicated Acute Appendicitis Accompanying Amyand's Hernia

Ergin¹

2019

bogazicitip

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“…The subsequent compromise of blood flow results in further inflammation and bacterial overgrowth [7]. In the existing literature, there have been 188 cases reported of an appendix contained within a hernia sac in 12 varying positions ( Table 1) [8].…”

Section: Discussionmentioning

confidence: 99%

“…Hernia Types Reported That Included Vermiform Appendix, With the Number of Reported Cases for Each Hernia Type. Adapted From[8] …”

mentioning

confidence: 99%

Incarcerated Amyand’s Hernia With Acute Appendicitis: A Case Report

Curfman¹,

Gontarz²,

Facciolo³

et al. 2015

J Med Cases

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Amyand's hernia is a rare condition defined as the inclusion of the appendix in an inguinal hernia sac, which becomes even rarer in a concomitant case of acute appendicitis. In patients presenting with an incarcerated inguinal hernia and underlying acute appendicitis, the obvious symptoms of the incarceration can mask those of appendicitis. This can complicate management, often leading to a missed pre-operative diagnosis and an emergent intraoperative finding often requiring immediate repair. For this study, we present one case of Amyand's hernia that was diagnosed intraoperatively. The patient is a 58-year-old African American male who presented to his primary care physician for worsening groin pain, later to undergo surgery for an incarcerated hernia. As described, in instances of Amyand's hernia, signs of acute appendicitis may not be initially recognized as they are overshadowed by apparent signs of bowel obstruction. This was the case while our patient was in surgery, as signs suggestive of acute appendicitis were discovered and the patient received an appendectomy in addition to hernia repair. The diagnosis of Amyand's hernia with acute appendicitis has been reviewed in other publications and was found to be a rare condition. As the occurrence rate is so low, there are different methods of management for specific classifications of Amyand's hernia. The case report, background research, statistics, classifications, and specific managements are being presented within this article. The purpose of this study is to evaluate our case against the published data and the procedural recommendations.

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“…Some authors think that in the presence of contamination the use of synthetic mesh is contraindicated [5,7,9] whereas others consider it safe to put a mesh in the inflamed area [10,11]. We think it is better, and taking into consideration the high rate (50%) of wound infection [12], to avoid the use of a mesh and thus the possibility of infectious mesh complication.…”

Section: Acute Appendicitis and Periappendicular Abscess In An Incar-mentioning

confidence: 99%