A RARE VARIATION OF AMYAND'S HERNIA: GANGRENEOUS APPENDICITIS IN AN INCARCERATED INGUINAL HERNIA SAC

Year 2008, Volume: 5 Issue: 2, - , 01.06.2008

İbrahim Barut Ömer Rıdvan Tarhan

Abstract

-

Keywords

-

A RARE VARIATION OF AMYAND'S HERNIA: GANGRENEOUS APPENDICITIS IN AN INCARCERATED INGUINAL HERNIA SAC

Abstract

Suleyman Demirel University, School of Medicine, Department of General Surgery, Isparta, Turkey. Claudius Amyand first described in 1735 the presence of a vermiform appendix within an inguinal hernia sac, and since then this entity has carried his name as “Amyand’s hernia”. The incidence of normal appendix within an inguinal hernia sac is estimated to be approximately 1%, whereas acute appendicitis presenting in an inguinal hernia is an uncommon event (0.1% of all cases of appendicitis). We report a case of gangrenous appendicitis in an incarcerated inguinal hernia and further discuss the features of this condition and suggest that extraluminal compression caused by incarceration may be a predisposing factor for appendicitis. In conclusion, acute appendicitis within an Amyand’s hernia can be life threatening and the patients always require emergency surgery. We recommend appendectomy after groin exploration through an inguinal incision, and tension-free herniorrhaphy in cases gangrenous acute appendicitis in incarcerated Amyand’s hernia

Keywords

Amyand hernia, gangrenous appendicitis, incarceration, inguinal hernia, Rutkow herniorrhaphy

References

• Solecki R, Matyja A, Milanowski W. Amyand’s hernia: a report of two cases. Hernia. 2003;7(1):50-1
• D’Alia C, Lo Schiavo MG, Tonante A, Taranto F, Gagliano E, Bonanno L, Di Giuseppe G, Pagano D, Sturniolo G. Amyand’s hernia: case report and review of the literature. Hernia 2003;7(2):89-91
• Franko J, Raftopoulos I, Sulkowski R. A rare variation of Amyand’s hernia. Am J Gastroenterol 2002;97(10):2684-5
• Martins JL, Peterlini FL, Martins EC. Neonatal acute appendicitis: a strangulated appendix in an incarcerated inguinal hernia. Pediatr Surg Int 2001;17(8):644-5
• Koseoglu B, Bakan V, oNem O, Bilici S, Demirtas I. A patient with an unusual complication of sliding inguinal hernia: Stercoral appendiceal fistula. J Pediatr Surg 2002;37(5):E13
• Logan MT, Nottingham JM. Amyand’s hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Am Surg 2001;67(7):628-9
• Zissin R, Brautbar O, Shapiro-Feinberg M. CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol 2000;73(873):1013-4
• Luchs JS, Halpern D, Katz DS. Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr 2000;24(6):884-6
• Barbaros U, Asoglu O, Seven R, Kalayci M. Appendicitis in incarcerated femoral hernia. Hernia. 2004 Mar 16 [Epub ahead of print]
• Isaacs LE, Felsenstein CH. Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass. J Emerg Med 2002;23(1): 15-8 Barut and Tarhan