Amyand’s hernias in childhood (a report on 21 patients): a single-centre experience

Okur, Mehmet Hanifi; Karacay, Safak; Uygun, İbrahim; Topçu, K. Meltem Çolak; Öztürk, Hasan

doi:10.1007/s00383-013-3274-z

Cited by 34 publications

(29 citation statements)

References 15 publications

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“…Regarding the treatment of Amyand’s hernias, many authors suggest that prophylactic appendectomy is not necessary when the appendix is found without signs of inflammation [18,19]. By contrast, other authors suggest that all patients have an appendectomy because the appendix could reherniate or, especially in younger patients, cause appendicitis [20].…”

Section: Discussionmentioning

confidence: 99%

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

et al. 2015

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IntroductionAn Amyand’s hernia is a rare occurrence of an inguinal hernia, with an estimated prevalence of 1%. The major complications of an Amyand’s hernia include necrotizing fasciitis of the anterior abdominal wall and secondary intestinal perforation. Though the incidence of this type of hernia is low, the appendix may easily become initially incarcerated, possibly leading to strangulation and perforation.Case presentationA 92-year-old female patient presented to our emergency department with clinical signs of an incarcerated right inguinal hernia, accompanied by fever. A clinical examination revealed localized abdominal pain, reflecting to the right side of her groin. Laboratory tests showed leukocytosis (13,200/μL), while an abdominal X-ray showed colon distension with evidence of intestinal obstruction. Ultrasonography was performed and confirmed the presence of an inflamed tubular structure inside her right inguinal canal. Our patient underwent emergency surgery. We started with a right inguinal incision, which revealed an incarcerated right inguinal hernia, containing her ruptured appendix and showing macroscopic evidence of malignancy. A specimen biopsy was immediately performed and the results showed a ruptured cecal adenocarcinoma. The incision was slightly extended upwards, and a right hemicolectomy performed.ConclusionsDiagnosis of an Amyand’s hernia occurs primarily as an incidental finding during surgery and the optimal therapeutic approach must be considered individually for each case. Owing to the rarity of Amyand’s hernia and the wide variance of its clinical characteristics, every case provides useful information toward the treatment of this type of hernia.

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Section: Discussionmentioning

confidence: 99%

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

et al. 2015

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“…When the appendicitis is found in Amyand's hernia, the performance of an appendectomy is virtually wise. However, some authors are reluctant when the appendix shows no signs of inflammation, while others suggest the realization of prophylactic appendectomy, citing the possibility of recurrence of hernia and the difficulty of later diagnosis of complications [32–35]. Findings on autopsy of Amyand's hernia in victims who have succumbed to other diseases show that this can remain asymptomatic throughout life [10].…”

Section: Discussionmentioning

confidence: 99%

Amyand’s Hernia with Appendicitis: A Case Report and Integrative Review

Cavalcante

Batista

Neto

et al. 2015

Case Reports in Surgery

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Introduction. Inguinal hernia is a common disorder with an estimated prevalence of 1.2% of the entire population and it is 12 times more common in males. Objective. To describe a case of appendix with signs of inflammation in the hernia sac, condition that is rare and difficult to diagnose, and to perform literature review, describing the most relevant aspects and the main controversies. Method. Report of a case and search in PubMed on June 1, 2015, using the terms “Appendix” [MeSH term] AND “hernia, inguinal” [MeSH term]. Results. The search resulted in 38 articles in total, and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Discussion. The search resulted in a total of 38 articles and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Conclusion. Amyand's hernia is a rare and difficult to diagnose condition, being commonly found occasionally in surgical procedures. It should be remembered in the presence of cases of incarcerated hernia, due to its possible complications if not diagnosed.

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“…Amyand's hernia occurs in 1% (0.19-1.7%) of all inguinal hernia cases (2,3,6,11). In 0.13% of all cases, the appendix is inflamed.…”

Section: Pathophysiologymentioning

confidence: 99%

“…(4) Inflammatory swelling of the appendix may be the beginning of a vicious cycle. Thus, Amyand's hernia becomes irreducible, accentuating the swelling due to venous stasis and causing an impaired microcirculation of the appendix wall, resulting in bacterial overgrowth and translocation (11,12).…”

Section: Pathophysiologymentioning

confidence: 99%

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Amyand’s Hernia: an Up-to-Date Review of the Literature

Patoulias

Kalogirou

Patoulias

2017

Acta Med. (Hradec Kralove, Czech Repub.)

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Amyand’s hernia is defined as an inguinal hernia, containing the appendix within the hernia sac. Incidence of this rare condition rises up to 1% (0.19–1.7%) of all inguinal hernia cases. Inflammation of the appendix within the inguinal sac is even rarer, as it corresponds to 0.1% (0.07–0.13%) of all Amyand’s hernia cases. After a comprehensive review of the limited relevant literature, we aim through this review study to describe the pathophysiology of inflammation of the appendix – contained in the hernia sac – and present the latest data about the diagnostic approach and surgical treatment of Amyand’s hernia.

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Amyand’s hernias in childhood (a report on 21 patients): a single-centre experience

Cited by 34 publications

References 15 publications

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

Amyand’s Hernia with Appendicitis: A Case Report and Integrative Review

Amyand’s Hernia: an Up-to-Date Review of the Literature

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