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

Year 2018, Volume: 9 Issue: 1, 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

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