Amyand’s hernia: acute appendicitis and abscess in the inguinal canal

Abstract

Amyand’s hernia is a rare entity where the appendix is trapped within inguinal canal. For even rarer are the cases where the appendix has perforated and caused an abscess into inguinal canal. Here we report a case where a male patient had Amyand’s hernia, acute appendicitis and abscess which were treated by laparotomy. We present the diagnostic process and intraoperative finding leading to diagnosis of Amyand’s hernia.

Amyand hernia as a rare cause of abdominal pain: A case report and literature review

“…In case of infection and peritonitis, mesh repair should be avoided. 12,18 Although current surgical procedures for AH type 2 hernias are under the influence of new prosthetic materials like biological mesh which prevents recurrence, there is not enough research to support this claim. 19 Despite the high index of clinical suspicion during the surgery, the decision to perform an appendectomy or use a mesh to repair a hernia should always be individualized, since it depends on the patient's condition such as appendix inflammation level, surgery and cavity contamination grade, age, comorbidities, and hernia type.…”

“…Using mesh repair required precision. In case of infection and peritonitis, mesh repair should be avoided 12,18 . Although current surgical procedures for AH type 2 hernias are under the influence of new prosthetic materials like biological mesh which prevents recurrence, there is not enough research to support this claim 19…”

Amyand's hernia in an elective inguinal hernia repair: A case report

“…When a normally appearing, vermiform appendix is discovered during elective surgery, it usually does not present with any notable symptoms. However, an inflamed appendix can become stuck inside the inguinal canal, which can result in an incarcerated hernia, fecal spillage, and abdominal sepsis [ 6 ]. Imaging techniques used to diagnose AH include ultrasonography and computed tomography (CT).…”

Acute appendicitis within an incisional hernia: a type of Amyand’s hernia

“…The reported incidence of Amyand’s hernia is 1% of all inguinal hernias in adults. Moreover, an Amyand’s hernia with appendicitis accounts for 0.1% of all appendicitis 3–6. The condition is usually an incidental finding during surgery since its preoperative diagnosis is extremely challenging 7.…”