Amyand’s Hernia: A Case Report

Öz

Amyand's hernia is defined as the presence of the appendix vermiformis (inflamed or non-inflamed) within the inguinal hernia sac. It is seen in approximately 1% of inguinal hernia cases. This extremely rare condition is often diagnosed conventionally, at surgery. However, with the increasing use of computed tomography (CT) and ultrasonography (US) examinations, preoperative diagnosis is also possible. The treatment approach varies depending on whether the appendix inside the hernia sac is inflamed or not. For this reason, imaging examinations are of great importance in making a diagnosis and directing treatment. As a result of imaging examinations in an elderly patient in our clinic, colon, small intestine segments, omentum and appendix were detected in the right inguinal canal. Since the appendix was also located within the hernia sac, the case was called Amyand's hernia. In this article, we wanted to draw attention to Amyand's hernia in general and the place of radiological examination in diagnosis and treatment of this disease.

Anahtar Kelimeler

• Appendix vermiformis
• Amyand’s hernia
• Inguinal hernia
• Computed tomography
• Ultrasonography

Amyand Hernisi: Olgu Sunumu

Öz

Amyand hernisi appendiks vermiformisin (inflame veya non- inflame) inguinal herni kesesi içerisinde bulunması olarak tanımlanır. İnguinal herni olgularının yaklaşık %1’ inde görülür. Bu son derece nadir görülen durum sıklıkla geleneksel olarak, ameliyatta teşhis edilir. Ancak giderek artan oranda bilgisayarlı tomografi (BT) ve ultrasonografi (US) tetkiklerinin kullanımıyla birlikte ameliyat öncesi teşhis de mümkündür. Herni kesesi içerisindeki appendiksin inflame olup olmamasına göre tedavi yaklaşımı değişmektedir. Bu sebeple tanı koymada ve tedaviyi yönlendirmede görüntüleme tetkikleri büyük öneme sahiptir. Kliniğimizde yaşlı bir hastada görüntüleme tetkikleri sonucunda sağ inguinal kanal içerisinde kolon, ince bağırsak segmentleri, omentum ve apandiks tespit edildi. Apandiks de fıtık kesesi içerisinde bulunduğundan olgu Amyand hernisi olarak adlandırıldı. Bu yazımızda genel olarak Amyand hernisine ve bu hastalıkta radyolojik incelemenin tanı ve tedavideki yerine dikkat çekmek istedik.

Anahtar Kelimeler

• Appendiks vermiformis
• Amyand hernisi
• İnguinal herni
• Bilgisayarlı tomografi
• Ultrasonografi

Kaynakça

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