Amyand’s Hernia, State of the Art and New Points of View

Abstract

Background Amyand's hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. Case Presentation A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini's technique were performed. Conclusions Preoperative diagnosis of AH is rare; however it could be useful for surgeon to choose operative approach. Treatment of AH depends on grade of appendix inflammation and/or perforation. The technique utilized to repair hernia depends largely on surgeon's preferences; the presence of inflamed or perforated appendix is not an absolute contraindication for using a prosthetic mesh.

Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report

“…The hernia in the inguinal region usually contains the omentum and small intestine but rarely can contain unusual contents like the appendix [ 11 ], Meckel's diverticulum [ 12 ], ovary with fallopian tubes [ 13 ], sigmoid colon [ 14 ], and urinary bladder.…”