Incisional hernia appendicitis: A unique case report

Paudyal, Nabin; Sah, Sachidanand

doi:10.1016/j.ijscr.2021.106549

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…In situations with incisional hernia appendicitis, the classic appearance of appendicitis may be missing [ 11 ]. That leads to a worse prognosis of this situation because the diagnosis of appendicitis may be delayed and it might progress to a gangrenous form and even perforate, causing a life-threatening condition [ 8 ]. In these complicated cases, when appendicitis is located in the sac of the hernia, the diagnosis is usually verified by CT by suspecting other pathologies because of the unusual clinical presentation of appendicitis [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Vermiform Appendix within Post-Laparoscopic Incisional Hernia: A Unique Case Report and Literature Review

et al. 2023

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Background: Appendicitis within incisional hernia is an extraordinarily rare postoperative complication with an incidence range from 0.08 to 1%. From the 14 cases that we found in the English literature, only three present appendixes vermiform in incisional hernia followed by laparoscopic surgery. Only two cases are treated minimally invasively by the laparoscopic approach. Case presentation: We introduce a 65-year-old man who had a laparoscopic sigmoid colon resection and had a lump found at the 12 mm trocar site in the right iliac area in the late postoperative phase. There were no complaints from the patient. A vermiform appendix was unexpectedly discovered in the sac of that incisional hernia during control CT scans performed by chemotherapists. Laparoscopic hernia repair without appendectomy was performed. Postoperative outcomes were excellent. Conclusions: Because of low incidence and a lack of distinctive clinical presentation of appendicitis within incisional hernia, there is a risk of delayed perioperative diagnosis and treatment. A CT scan might play an important role in verifying the diagnosis early. For better postoperative outcomes, if possible, laparoscopic surgery should be chosen.

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Section: Discussionmentioning

confidence: 99%

Vermiform Appendix within Post-Laparoscopic Incisional Hernia: A Unique Case Report and Literature Review

et al. 2023

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“…Reports of incisional hernias containing an inflamed appendix are rare, but have been described involving a variety of incisions, including Pfannenstiel [5] , [6] , Kocher [7] , and laparoscopic port-site incisions [8] . Our literature review identified only one other case of appendicitis within an incisional hernia at an ileostomy reversal site [9] .…”

Section: Discussionmentioning

confidence: 99%

A rare presentation of appendicitis contained within an incisional hernia post loop ileostomy reversal – A case report

Bąk¹,

Jaffry²,

Tan³

2022

International Journal of Surgery Case Reports

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“…It still occurs due to faulty technique in closure of deeper layer, age, obesity, chronic cough, prostatism, constipation, diabetes mellitus and the use of corticosteroids [ 2 ]. In the last decade, only five cases have been published in the medical literature, five in case series [ 10 ] and one case report of acute appendicitis in PIH [ 11 ]. We reported our first case in 6 years.…”

Section: Discussionmentioning

confidence: 99%

Our first Pfannenstiel incisional hernia. A case report

Cervantes

Acevedo

Lopez

et al. 2022

Journal of Surgical Case Reports

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The incidence of the Pfannenstiel incisional hernia (IH) is the lowest of all IHs, it can occur due to patient-related factors or faulty technique in closure of the deeper layer. The use of prosthetic mesh repair is heralding a new era of tension-free herniorrhaphy, while the optimal location for its implantation remains controversial. As a result, no strategy or technique has become the gold standard for its repair. We report our first experience with an IH through Pfannenstiel in a 49-year-old obese female patient. Inlay polypropylene open mesh repair was performed. As the only complication, the patient presented with a seroma in the wound, which was aspirated, and she is currently asymptomatic with outpatient consultation follow-up. Pfannenstiel IHs have received minimal attention on the optimal surgical approach and postoperative results, making this case a good starting point for future studies.

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Incisional hernia appendicitis: A unique case report

Cited by 4 publications

References 11 publications

Vermiform Appendix within Post-Laparoscopic Incisional Hernia: A Unique Case Report and Literature Review

Vermiform Appendix within Post-Laparoscopic Incisional Hernia: A Unique Case Report and Literature Review

A rare presentation of appendicitis contained within an incisional hernia post loop ileostomy reversal – A case report

Our first Pfannenstiel incisional hernia. A case report

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