Olgu Sunumu
BibTex RIS Kaynak Göster

Amyand’s Hernia: A Case Report

Yıl 2024, Cilt: 8 Sayı: 2, 196 - 200, 30.08.2024
https://doi.org/10.29058/mjwbs.1445410

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.

Kaynakça

  • 1. Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia. 2006 Apr;10(2):152-5. doi: 10.1007/s10029-005-0036-4. Epub 2005 Sep 20. PMID: 16172801.
  • 2. Casadio G, Chendi D, Franchella A. Fishbone ingestion: two cases of late presentation as pediatric emergencies. J Pediatr Surg. 2003 Sep;38(9):1399-400. doi: 10.1016/s0022- 3468(03)00406-8. PMID: 14523830.
  • 3. Carey LC: Acute appendicitis occuring in hernias: a report of 10 cases. Surgery 1967; 31: 236-8.
  • 4. Doig C M. Appendicitis in umbilical hernial sac. Br Med J 1970; ii: 113-4.
  • 5. Archampong E Q. Strangulated obturator hernia with acute gangrenous appendicitis. BrMedJ 1969; i: 230.
  • 6. Öztürk E, Garip G, Yılmazlar T. Amyand herni. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2004;30(3):225- 6.
  • 7. Hutchinson R. Amyand’s hernia. J R Soc Med 1993; 86: 104-5 3. Luchs JS, Halpern D, Katz DS. Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr. 2000;24(6):884-6.
  • 8. House MG, Goldin SB, Chen H. Perforated Amyand’s hernia. South Med J. 2001;94(5):496-8.
  • 9. 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.
  • 10. Priego P, Lobo E, Moreno I, et al. Acute appendicitis in an incarcerated crural hernia: analysis of our experience. Rev Esp Enferm Dig. 2005;97:707-15.
  • 11. Zissin R, Brautbar O, Shapiro-Feinberg M. CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol 2000; 73: 1013-4.
  • 12. Bendavid R. The unified theory of hernia formation. Hernia 2004; 8: 171-6.
  • 13. Ryan WJ. Hernia of the vermiform appendix. Ann Surg 1937; 106: 135.
  • 14. Luchs JS, Halpern D, Katz DS. Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr 2000; 24: 884-6.
  • 15. Solecki R, Matyja A, Milanowski W. Amyand’s hernia: A report of two cases. Hernia 2003;7: 50-1.
  • 16. Weber RV HZ, Kraal JG. Amyand’s hernia: Etiologic and therapeutic implications of the two complications. Surg Rounds 1999;22:552-6.
  • 17. Kathar Hussain, M.r., N, K. A case report of Amyand hernia— radiological diagnosis and literature review. Egypt J Radiol Nucl Med 51, 226 (2020). https://doi.org/10.1186/s43055-020- 00346-4
  • 18. Ornelas-Cortinas G, Cantu-Gonzalez J, Enríquez-Rodriguez R, Montemayor-Martinez A, Negreros-Osuna A, Cortinas-Gonzalez J et al (2019) Acute appendicitis in Amyand’s hernia: ultrasound findings and histopathology correlation. A case report. J Surg Case Rep 2019(11):rjz335
  • 19. LosanoV JE, Basson MD (2008) Amyand hernia: a classiWcation to improve management. Hernia 12:325–326
  • 20. Ofili OP. Simultaneous appendectomy and inguinal herniorrhaphy could be benefical. Ethiop Med. J. 1991;29:37-8

Amyand Hernisi: Olgu Sunumu

Yıl 2024, Cilt: 8 Sayı: 2, 196 - 200, 30.08.2024
https://doi.org/10.29058/mjwbs.1445410

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.

Kaynakça

  • 1. Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia. 2006 Apr;10(2):152-5. doi: 10.1007/s10029-005-0036-4. Epub 2005 Sep 20. PMID: 16172801.
  • 2. Casadio G, Chendi D, Franchella A. Fishbone ingestion: two cases of late presentation as pediatric emergencies. J Pediatr Surg. 2003 Sep;38(9):1399-400. doi: 10.1016/s0022- 3468(03)00406-8. PMID: 14523830.
  • 3. Carey LC: Acute appendicitis occuring in hernias: a report of 10 cases. Surgery 1967; 31: 236-8.
  • 4. Doig C M. Appendicitis in umbilical hernial sac. Br Med J 1970; ii: 113-4.
  • 5. Archampong E Q. Strangulated obturator hernia with acute gangrenous appendicitis. BrMedJ 1969; i: 230.
  • 6. Öztürk E, Garip G, Yılmazlar T. Amyand herni. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2004;30(3):225- 6.
  • 7. Hutchinson R. Amyand’s hernia. J R Soc Med 1993; 86: 104-5 3. Luchs JS, Halpern D, Katz DS. Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr. 2000;24(6):884-6.
  • 8. House MG, Goldin SB, Chen H. Perforated Amyand’s hernia. South Med J. 2001;94(5):496-8.
  • 9. 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.
  • 10. Priego P, Lobo E, Moreno I, et al. Acute appendicitis in an incarcerated crural hernia: analysis of our experience. Rev Esp Enferm Dig. 2005;97:707-15.
  • 11. Zissin R, Brautbar O, Shapiro-Feinberg M. CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol 2000; 73: 1013-4.
  • 12. Bendavid R. The unified theory of hernia formation. Hernia 2004; 8: 171-6.
  • 13. Ryan WJ. Hernia of the vermiform appendix. Ann Surg 1937; 106: 135.
  • 14. Luchs JS, Halpern D, Katz DS. Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr 2000; 24: 884-6.
  • 15. Solecki R, Matyja A, Milanowski W. Amyand’s hernia: A report of two cases. Hernia 2003;7: 50-1.
  • 16. Weber RV HZ, Kraal JG. Amyand’s hernia: Etiologic and therapeutic implications of the two complications. Surg Rounds 1999;22:552-6.
  • 17. Kathar Hussain, M.r., N, K. A case report of Amyand hernia— radiological diagnosis and literature review. Egypt J Radiol Nucl Med 51, 226 (2020). https://doi.org/10.1186/s43055-020- 00346-4
  • 18. Ornelas-Cortinas G, Cantu-Gonzalez J, Enríquez-Rodriguez R, Montemayor-Martinez A, Negreros-Osuna A, Cortinas-Gonzalez J et al (2019) Acute appendicitis in Amyand’s hernia: ultrasound findings and histopathology correlation. A case report. J Surg Case Rep 2019(11):rjz335
  • 19. LosanoV JE, Basson MD (2008) Amyand hernia: a classiWcation to improve management. Hernia 12:325–326
  • 20. Ofili OP. Simultaneous appendectomy and inguinal herniorrhaphy could be benefical. Ethiop Med. J. 1991;29:37-8
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Genel Cerrahi, Radyoloji ve Organ Görüntüleme
Bölüm Olgu Sunumu
Yazarlar

Ahmet Orçun Köroğlu 0009-0009-7063-1231

Sıtkı Safa Taflan 0009-0000-4623-0053

Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 2 Mart 2024
Kabul Tarihi 3 Haziran 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 8 Sayı: 2

Kaynak Göster

Vancouver Köroğlu AO, Taflan SS. Amyand’s Hernia: A Case Report. Med J West Black Sea. 2024;8(2):196-200.

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