Amyand's hernia, appendicitis, and undescended testis: The amyand's triad

Dhanasekarapandian, Vembar; Shanmugam, Vivek; Jagannathan, Muthukumaran

doi:10.4103/jiaps.jiaps_174_17

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…The management of Amyand’s hernia depends on various factors, including appendiceal inflammation, the patient’s clinical condition, and the surgeon’s experience. In cases of incidental finding without appendicitis, as in our case, the hernia contents and hernia repair can be reduced without appendectomy [ 11 ]. However, in cases of acute appendicitis within the hernia sac or suspicion of appendiceal pathology, appendectomy is indicated to prevent potential complications such as perforation and peritonitis [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia: An Uncommon Encounter of an Appendiceal Presence in an Inguinal Hernia

Inamdar,

Shinde,

Nayak

et al. 2024

Cureus

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Amyand's hernia is a rare variant of inguinal hernia characterized by the presence of the vermiform appendix within the hernia sac. It represents a unique diagnostic and management challenge for surgeons due to its low incidence and varied clinical presentations. Here, we present a case of a 45-year-old man with a one-year history of right inguinoscrotal swelling, diagnosed as a right indirect inguinal hernia. Preoperative imaging revealed the presence of omentum within the hernia sac. Intraoperatively, both the omentum and the vermiform appendix were found within the sac without evidence of inflammation. The patient underwent successful Lichtenstein meshplasty without appendicectomy. This case highlights the importance of considering Amyand's hernia in the differential diagnosis of inguinal hernias and the significance of intraoperative findings in guiding surgical management. Further studies and case reports are needed to enhance our understanding of this rare clinical entity and optimize patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia: An Uncommon Encounter of an Appendiceal Presence in an Inguinal Hernia

Inamdar,

Shinde,

Nayak

et al. 2024

Cureus

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“…Otros desafíos en el diagnóstico radiológico es sospechar la inflamación apendicular cuando se encuentra dentro del conducto inguinal (Hernia de Amyand) 20 , así como otras complicaciones, como es el caso de la apendicitis en el contexto de una enterocolitis necrotizante 5,6,21 , hernias atascadas bajo las cuales subyace una apendicitis complicada 10 , cuadros que se presentan como torsión testicular u ovárica, en las cuales hay un apéndice inflamado y perforado 22,23 . Hacer el diagnóstico en forma oportuna permite orientar de mejor manera las estrategias quirúrgicas.…”

Section: Discussionunclassified

Apendicitis aguda perforada con diagnóstico prequirúrgico y hernia inguinal bilateral en recién nacido de pretérmino

Patiño

et al. 2020

Rev Chil Pediatr

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La apendicitis aguda neonatal es una patología de muy baja frecuencia, con escasos reportes en los últimos 30 años. La clínica e imágenes son inespecíficas, diagnosticándose la mayoría de las veces durante el procedimiento quirúrgico.Objetivo: Presentar un caso de apendicitis aguda perforada en paciente prematura, con diagnóstico prequirúrgico y resolución laparoscópica, asociada a aparición posterior de hernia inguinal.Caso Clínico: Recién nacido femenino de 34 semanas que a los 17 días de vida presentó fiebre, irritabilidad y aumento del residuo lácteo. Al examen físico destacaba distensión y sensibilidad del abdomen y tanto la radiografía como ecografía abdominales eran compatibles con apendicitis aguda perforada, por lo cual ingresó a pabellón para laparoscopía. Confirmado el diagnóstico, se realizó apendicectomía. Dos semanas después en consulta ambulatoria, se evidenció y confirmó con ecografía una hernia inguinal bilateral que se corrigió quirúrgicamente.Conclusión: La apendicitis aguda debe considerarse dentro de los diagnósticos diferenciales en neonatos con clínica de abdomen agudo, principalmente en prematuros. En este caso, la ecografía permitió realizar el diagnóstico pre-operatorio. La posible asociación con hernia inguinal, debiera motivar a examinar siempre conductos inguinales durante la evaluación con imágenes y en el procedimiento quirúrgico.

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“…V. Dhanasekarapandian и соавт. [32] опубликовали клиническое наблюдение сочетанной патологии, ассоциированной с грыжей Амианда у ребенка 35 сут жизни -комбинация воспаленного аппендикса в скользящей паховой грыже с паховым ОБЗОРЫ ЛИТЕРАТУРЫ Урологические ведомости Том 13, № 2, 2023 крипторхизмом. Воспаленный отросток вызвал сдавление элементов семенного канатика и яичка в паховом канале и привел к необратимой тестикулярной ишемии, потребовавшей орхэктомии.…”

Section: материалы и методыunclassified

“…Воспаленный отросток вызвал сдавление элементов семенного канатика и яичка в паховом канале и привел к необратимой тестикулярной ишемии, потребовавшей орхэктомии. Авторы обозначили описанную ими тройную ассоциацию «триадой Амианда» -сочетания компонентов грыжи Амианда, аппендицита и неопущения яичка, однако данный термин в других источниках не используется и носит характер исключительно авторского [32]. O. Otty и соавт.…”

Section: материалы и методыunclassified

Amyand’s hernia in adult and pediatric practice. Urological aspects

Shchedrov

Shormanov

Garova

et al. 2023

Urology reports (St. - Petersburg)

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Amyands hernia, an inguinal hernia that contains the appendix within the hernia sac, is a rare condition in surgical, and even more so in urological practice. It is difficult to diagnose due to its low frequency, anatomical atypicality and urgency. There are no review publications on this issue, and those that are available are mainly descriptions of individual cases. In this article an attempt was made to highlight the largest possible number of clinical observations that reflect the urological aspects of the problem and present them in a systematic manner. Aim to analyze the available publications covering the urological aspects of Amyands hernia. The literature review was carried out on the basis of publications covering the urological aspects of Amyands hernia in adults and children, published in PubMed databases and Scientific Electronic Library eLibrary.ru. The search was carried out by the following keywords: Amyands hernia, acute scrotum, inflammatory diseases of the scrotum, Fourniers phlegmon, scrotal fistula (in Russian and English). Taking into account the rarity of the analyzed problem, the analysis includes publications for the last 15 years. 189 publications related to the topic of the review were identified. 38 publications of the greatest scientific and practical interest were selected directly for citation in the review. The maximum number of available publications reflecting the urological aspects of Amyands hernia has been analyzed, and an attempt has been made to systematize them clinically. The variety of clinical manifestations caused by Amyands hernia is commonly referred to in the English literature as Amyands hernia syndrome. We have identified the following variants of the clinical course: scrotal fistula a casuistic variant described in detail only by C. Amyand; picture of the acute scrotum syndrome the most frequent variant of the clinical course of Amyands hernia with scrotal manifestations is noted mainly in childhood, however, it can also occur in adults in all age groups; phlegmon of the scrotum, phlegmon of Fournier an extremely rare variant of the clinical course with scrotal manifestations, publications on this subject are rare. Amyands hernia being a rare surgical problem in both children and adults, has a number of urological masks, causing diagnostic difficulties and is of some interest to the urologists.

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Amyand's hernia, appendicitis, and undescended testis: The amyand's triad

Cited by 6 publications

References 4 publications

Amyand’s Hernia: An Uncommon Encounter of an Appendiceal Presence in an Inguinal Hernia

Amyand’s Hernia: An Uncommon Encounter of an Appendiceal Presence in an Inguinal Hernia

Apendicitis aguda perforada con diagnóstico prequirúrgico y hernia inguinal bilateral en recién nacido de pretérmino

Amyand’s hernia in adult and pediatric practice. Urological aspects

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