An incarcerated Amyand’s hernia: Shall we apply appendectomy routinely?

Year 2018, , 48 - 49, 10.03.2018

Gökhan Demiral , Muhammed Kadri Çolakoğlu Süleyman Kalcan

https://doi.org/10.5799/jcei.413079

Abstract

 

Amyand’s
hernia is a very rare clinical condition characterized by the presence of a
normal or inflammed appendix within the inguinal hernia sac. It may be present
as an acute apendicitis inside the sac or incarcerated hernia. Sometimes it may
be asymptomatic. We report a case of 70-year-old male patient that was
presented to our emergency service with a huge right inguinal mass that was
diagnosed as an incarcerated inguinal hernia and underwent operation. The
intraoperative findings included small intestinal segment, large omental tissue
and mobile cecum with healthy appendix inside the sac. There was no sign of
strangulation. Lichtenstein herniorhaphy was done without appendectomy.

Keywords

Amyand’s hernia, incarceration, appendix vermiformis

References

• 1. Psarras K, Lalountas M, Baltatzis M, et al. Amyand's hernia- vermiform appendix presenting in an inguinal hernia: a case series. J Med Case Rep. 2011;5:463.
• 2. Amyand C: Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. Phil Trans Royal Soc. 1736;39:329.
• 3. Thomas WEG, Vowles KDJ, Williamson RCN. Appendicitis in external herniae. Ann R Coll Surg Engl. 1982;64:121-2.
• 4. Llullaku SS, Hyseni NS, Kelmendi BZ, et al. A pin in appendix within Amyand's hernia in a six years old boy: case report and review of literature. World J Emerg Surg. 2010;5:14.
• 5. D’Alia C, Lo Schiavo MG, Tonante A, et al. Amyand’s hernia: case report and review of the literature. Hernia. 2003;7:89-91.
• 6. Kwoka CM, Suc CH, Kwangb WK, Chiu YCal. Amyand's hernia–Case Report and Review of the Literature. Case Rep Gastroenterol. 2007;1:65-70.
• 7. Hutchinson R. Amyand’s hernia. J R Soc Med 1993;86:104-5.
• 8. Milanchi S, Allins AD: Amyand’s hernia: history, imaging, and management. Hernia. 2008;12:321-2.
• 9. Sharma H, Gupta A, Shekhawat NS, et al. Amyand’s hernia: a report of 18 consecutive patients over a 15-year period. Hernia. 2007;11:31-5.
• 10. Ballas K, Kontoulis T, Skouras C, et al. Unusual findings in inguinal hernia surgery: Report of 6 rare cases. Hippokratia. 2009;13:169-71.
• 11. Losanoff JE, Basson MD. Amyand hernia: a classification to improve management. Hernia. 2008;12:325-6.
• 12. Livaditi E, Mavridis G, Christopoulos GG. Amyand's hernia in premature neonates: report of two cases. Hernia. 2007;11:547-9.
• 13. Losanoff JE, Basson MD. Amyand hernia: what lies beneath a proposed classification scheme to determine management. Am Surg. 2007;73:1288-90.
• 14. 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;67:628-9.