Therapeutical and Pharmaco-Chemical Conduct for Amyand Hernia

Abstract

One of the rare findings regarding the hernial sac is the vermiform appendix. This pathology, defined as Amyand’s hernia, occurs in almost 1% of all inguinal hernia cases (0.19-1.7%). Usually, it is diagnosed intraoperatively, because the preoperative diagnosis is very difficult. We report the case of a 56-year-old man with a voluminous mass in the right inguinal-scrotal region. During the surgical procedure, an Amyand’s hernia was identified and we performed reduction of the hernia, herniorrhaphy and Lichtenstein Tension-Free Repair with polypropylene mesh. The case that we presented was type 1 according to Losanoff and Basson’s classification, but also to Rikki modified classification, with a very controversial management. Clinical evaluation and surgeon’s experience are the base of the surgical treatment. Keywords: vermiform appendix, inguinal hernia, surgical treatment