Amyand's Hernia: inguinal hernia with acute appendicitis

Fonseca-Neto, Olival Cirilo Lucena da; Lucena, Rafael Cavalcanti de Carvalho; Lacerda, Cláudio Moura

doi:10.1590/s0102-67202014000400022

Cited by 7 publications

(11 citation statements)

References 9 publications

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“…Appendicitis is a common cause of surgical emergency, and in the population of patients undergoing organ transplantation it is rare 3 , 5 , 6 , 7 , 9 , 11 . In these cases it has often clinical presentation similar to non-transplant patients.…”

Section: Introductionmentioning

confidence: 99%

Acute Apendicitis in Liver Transplant Recipients

Fonseca-Neto

Lima

Melo

et al. 2016

ABCD, arq. bras. cir. dig.

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Background : Appendicitis is a common cause of emergency surgery that in the population undergoing organ transplantation presents a rare incidence due to late diagnosis and treatment. Aim : To report the occurrence of acute appendicitis in a cohort of liver transplant recipients. Methods : Retrospective analysis in a period of 12 years among 925 liver transplants, in witch five cases of acute appendicitis were encountered. Results : Appendicitis occurred between three and 46 months after liver transplantation. The age ranged between 15 and 58 years. There were three men and two women. The clinical presentations varied, but not discordant from those found in non-transplanted patients. Pain was a symptom found in all patients, in two cases well located in the right iliac fossa (40%). Two patients had symptoms characteristic of peritoneal irritation (40%) and one patient had abdominal distention (20%). All patients were submitted to laparotomies. In 20% there were no complications. In 80% was performed appendectomy complicated by suppuration (40%) or perforation (40%). Superficial infection of the surgical site occurred in two patients, requiring clinical management. The hospital stay ranged from 48 h to 45 days. Conclusion : Acute appendicitis after liver transplantation is a rare event being associated with a high rate of drilling, due to delays in diagnosis and therapy, and an increase in hospital stay.

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Section: Introductionmentioning

confidence: 99%

Acute Apendicitis in Liver Transplant Recipients

Fonseca-Neto

Lima

Melo

et al. 2016

ABCD, arq. bras. cir. dig.

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“…5,7,9,13,14 The decision ultimately will depend based on many clinical aspects being kept in mind but as a general recommendation, literature review highlighted a classification system along with management options outlined by Losanoff and Basson, as described in Table 1. 7,10,11 Where appendix is found to be inflamed, suppurative or perforated, a Shouldice repair is recommended based on its low recurrence rate but any technical of operation could be done according to each case and the principle of the surgery which to removing the hernia sac , returned content to peritoneal cavity and locus minors closure. 7,10,11,12…”

Section: Discussionmentioning

confidence: 99%

Pediatric amyand hernia : case report in Sanjiwani Gianyar Hospital Bali-Indonesia

Luciana

Antara

Bharatha³

2019

Intisari Sains Medis

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Introduction: Amyand's hernia (AH) is defined as protrusion of the vermiform appendix in an inguinal hernia sac, and incidence was reported only 1% of all inguinal hernias. This study aimed to share the experience of inguinal hernia repair with appendectomy for Pediatric case with non inflamed appendices. Case: A 2-year-old male came to the emergency department with a history of irreponible lump along with right scrotal tender 6 hours before admission and progressively increased. There is no specific sign of obstruction,dehydration or infection. His lump already presented since new born but with age progression the reponible complain become more frequently. Based on clinical presentation this patient did open repair of hernia as diagnostic and therapeutic, identification of appendix was non-inflamed appendix inside right scrotum, no sign of incarcerated strangulated of perforated. No Complication was reported until two-month post-operative. Surgical correction is already done with non-complication postoperative care for 2 month period. Conclusion: Pediatric Amyand Hernia is rare case (1% from all inguinal hernia) diagnostic and therapeutic could be very challenging. Open herniotomy repair and appendectomy for this case was taken with satisfying outcome.

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“…El diagnóstico preoperatorio es complejo y difícil, por lo que generalmente es intraoperatorio como sucedió en este caso [5,10,13,14,16,18]; el cuadro clínico en muchos casos está relacionado al descrito por una hernia inguinal incarcerada y/o estrangulada, y localizada en el cuadrante inferior derecho. Otra sintomatología es el cuadro álgico típico que inicia en epigastrio con migración a fosa ilíaca derecha, acompañado de náusea y vómito similar al presentado por la paciente que derivó en el diagnóstico de apendicitis aguda.…”

Section: Discussionunclassified

“…El tratamiento quirúrgico es mandatorio, el abordaje es controvertido (herniotomía, laparotomía media y/o laparoscopía, solos o en combinación) [10,11]; dependerá de la sospecha diagnóstica preoperatoria y los hallazgos intraoperatorios. La apendicectomía puede o no estar acompañada de la reparación del defecto herniario.…”

Section: Introductionunclassified