Amyand’s hernia: a 10-year experience with 6 cases

Gao, Yijie; Zhang, Taotao; Zhang, Min; Hu, Zhengxu; Li, Qiao; Zhang, Xiangwen

doi:10.1186/s12893-021-01306-z

Cited by 17 publications

(14 citation statements)

References 18 publications

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“…Though the pathogenesis of the association of acute appendicitis with Amyand hernia is unknown, studies have proposed two possible mechanisms [ 8 ]: (i) inflammation caused by appendix compression due to muscle contraction or an abrupt acute increase in intra-abdominal pressure; and (ii) appendicitis caused by extra-luminal obstruction caused by pressure in the hernia's neck.…”

Section: Discussionmentioning

confidence: 99%

Amyand hernia; a case report on serendiptous intra-operative diagnosis

Regmi¹,

Bhat²,

Bohara³

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

Amyand hernia; a case report on serendiptous intra-operative diagnosis

Regmi¹,

Bhat²,

Bohara³

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Its pathophysiology is still unknown, but in cases where there is associated appendicitis, inflammation may occur due to increased intra-abdominal pressure or due to increased pressure directly in the inguinal ring due to an extra luminal obstruction (5). The mechanism of inflammation in these cases is explained by the reduction in blood flow to the appendix, which generates bacterial growth (6).…”

Section: Discussionmentioning

confidence: 99%

“…In cases where the appendix is normal, only hernia repair is performed with mesh placement, either open or laparoscopically. In young patients, even in the absence of appendicitis, appendectomy may be indicated (5).…”

Section: Discussionmentioning

confidence: 99%

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Amyand's Hernia Treated by Minimally Invasive Surgery: A Case Report

Manna¹,

Oliveira²,

Leite³

et al. 2022

JHS

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Introduction: Amyand's hernia is defined as the presence of the cecal appendix within the inguinal hernia sac, with or without inflammation. Objective: This article aims to describe a case of rare inguinal hernia, emphasizing its clinical, diagnostic and therapeutic aspects. Case report: A 70-yearold man was admitted to the emergency room with recurrent right lumbar pain, with a previous history of urinary tract lithiasis. Associated with this, he had a history of bulging in the right inguinal region with incarceration and spontaneous reduction, but it had not reduced for 7 days. History of right inguinal herniorrhaphy 40 years ago. No signs of peritonitis, laboratory with mild leukocytosis and PCR 20. EAS without infectious signs. Computed tomography was performed, which showed non-obstructive nephrolithiasis on the right and inguinal hernia on the right with a portion of the cecal appendix, of normal appearance, inside the hernial sac. He underwent videolaparoscopic right inguinal hernioplasty with tactical videolaparoscopic appendectomy. Discussion: The pathophysiology is related to an enlarged inguinal canal, favoring the probability of inflammation of the cecal appendix. The most common clinical presentation is a reducible inguinal hernia, with bulging in the inguinal region, which is slightly painful. The diagnosis is most often made intraoperatively. Treatment is surgical and consists of appendectomy or not followed by hernia repair with or without the use of a propylene prosthesis. Conclusion: A case of Amyand's hernia, a surgical entity of unusual character and with operative management, was presented.

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“…Left-sided Amyand's hernias are very rare [3] . Laparoscopic repair has also been described in pediatric age group [7] .…”

Section: Discussionmentioning

confidence: 99%

Amyand's hernia a case report

Khalid

Khan

Aziz

2021

International Journal of Surgery Case Reports

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Introduction and importance Amyand's hernia (AH) is a form of inguinal hernia which is consider as very rare and this type of hernia occurred up to 1% of all inguinal hernia cases. In this type of inguinal hernia, the content of hernia sac is appendix. Most patient with AH often remains asymptomatic and diagnosed intraoperatively. The diagnosis is challenging, since needs a high index of suspicion and imaging is key. Surgery is the mainstay management. We report a case of Amyand's hernia that was managed operatively in our medium complex public institution. Case presentation A 28 year's old man with normal body mass index (BMI) who had a history of right-side reducible linguino-scrotal swelling for 8 years, was admitted for elective right inguinal hernia repair. Two weeks back before admission, he noticed that swelling was slightly painful. Ultrasound of the abdomen reported normal findings. There was no history of abdominal pain and vomiting. Laboratory parameters were within normal limit. So, with a diagnosis of right sided partially reducible, incomplete, and indirect inguinal hernia, patient was operated for open hernia repair surgery, intra operatively we found dense adhesions within the sac, adhesions were released which revealed herniation of appendix into the inguinal canal. Appendix was mildly congested without gross evidence of inflammation. Hence, in view of noninflamed appendix, preperitoneal mesh (polypropylene) hernioplasty from Lichtenstein tension-free mesh repair was performed with appendicectomy. Postoperative period was uneventful, patient discharged at second day. Clinical discussion Amyand's hernia is very uncommon and characterized by the presence of the appendix in the hernia sac and it is 0.4–1% of all inguinal hernia cases, literature review also showed that incidence of Amyand's hernia is very rare, whereas only 0.1% of cases complicate into acute appendicitis due to late presentation and missed diagnosis. Conclusion Amyand's hernia (AH) makes up only a small proportion of most inguinal hernia cases, and its diagnosis is usually based on incidental finding intra-operatively. This condition may remain asymptomatic and behave like a normal inguinal hernia. Management of this type of hernia should be individualized according to appendix's inflammation stage, presence of abdominal sepsis and co-morbidity. With this approach it enables surgeons to manage more variations of Amyand's hernia. Laparoscopy for dealing Amyand's hernia is frequently diagnostic as well as therapeutic.

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Amyand’s hernia: a 10-year experience with 6 cases

Cited by 17 publications

References 18 publications

Amyand hernia; a case report on serendiptous intra-operative diagnosis

Amyand hernia; a case report on serendiptous intra-operative diagnosis

Amyand's Hernia Treated by Minimally Invasive Surgery: A Case Report

Amyand's hernia a case report

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