scholarly journals Penopubic testicular ectopia with bilateral cryptorchidism presenting as obstructed inguinal Amyand’s hernia

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
O Otuu ◽  
U U Nnadozie ◽  
C C Maduba ◽  
U E Eni
Keyword(s):  
Undescended Testis ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Uneventful Recovery ◽  
Hernia Sac ◽  
Ectopic Testis ◽  
Bilateral Cryptorchidism ◽  
Obstructed Hernia ◽  
Groin Exploration ◽  
Testicular Ectopia

Abstract Testicular ectopia is an aberrant deviation of the migration of the testis from its usual path of descent into the scrotum. Of the forms of ectopic testis, the penopubic (also called pubopenile) type is one of the least common; in this case, presented as an obstructed hernia. We report a rare case of penopubic testicular ectopia with bilateral cryptorchidism in a 17-year-old boy who presented to the emergency room with right obstructed inguinal hernia. Intraoperative findings included bilateral cryptorchidism, hernia sac with right undescended testis and normal vermiform appendix, a left penopubic testis abutting the hernia sac. Both testes had separate epididymides and adequate length of vasa deferentia and were transposed into their respective hemiscrotum via an open inguinal approach. The patient had an uneventful recovery. Penopubic testicular ectopia can present as obstructed Amyand’s hernia. Early open groin exploration with orchidopexy was satisfactory.

scholarly journals Amyand hernia: scrotal pyocele, associated with perforated vermiform appendix and complicated by testicular ischemia in neonate

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Ammar Omran ◽  
Bardisan Sleman Gawrieh ◽  
Aras Abdo ◽  
Mohammad Ali Deeb ◽  
Mohammad Almahmod Khalil ◽  
...  
Keyword(s):  
Spermatic Cord ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Perforated Appendix ◽  
History Of ◽  
Testicular Ischemia ◽  
Amyand Hernia ◽  
The Right ◽  
Bluish Discoloration

Abstract The presence of vermiform appendix in an inguinal hernia sac is known as Amyand’s hernia. This research paper examines the case of a 28-day-old Syrian male presented with a history of an infected right-sided hydrocele from the age of 14 days. Upon admission, ultrasonography was reported as a right testicular torsion. Accordingly, emergency surgical exploration was performed, and by exposing the spermatic cord fascia, 7 mL of pus was drained, revealing the cecum and perforated appendix lying beside the right testis, which showed evidence of ischemia and bluish discoloration.

scholarly journals Mesh Inguinal Hernia Repair and Appendectomy in the Treatment of Amyand’s Hernia with Non-Inflamed Appendices

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Emin Kose ◽  
Abdullah Sisik ◽  
Mustafa Hasbahceci
Keyword(s):  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Male Patients ◽  
Variable Clinical Presentation

Amyand’s hernia is defined as protrusion of the vermiform appendix in an inguinal hernia sac. It is a rare entity with variable clinical presentation from normal vermiform appendix to abscess formation due to perforation of acute appendicitis. Although surgical treatment includes appendectomy and hernia repair, appendectomy in the absence of an inflamed appendix and use of a mesh in cases of appendectomy remain to be controversial. The aim of this study was to review the experience of mesh inguinal hernia repair plus appendectomy performed for Amyand’s hernia with noninflamed appendices. There were five male patients with a mean age of 42.4 ± 16.1 years in this retrospective study in which Amyand’s hernia was treated with mesh inguinal hernia repair plus appendectomy for noninflamed appendices. Patients with acute appendicitis and perforated vermiform appendix were excluded. There were four right sided and one bilateral inguinal hernia. Postoperative courses were uneventful. During the follow-up period (14.0 ± 7.7 months), there was no inguinal hernia recurrence. Mesh inguinal hernia repair with appendectomy can be performed for Amyand’s hernia in the absence of acute appendicitis. However, presence of fibrous connections between the vermiform appendix and the surrounding hernia sac may be regarded as a parameter to perform appendectomy.

scholarly journals Endometriosis of the Vermiform Appendix within a Hernia Sac Infiltrating the Pubic Bone

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Damian Ziaja ◽  
Tomasz Bolkowski ◽  
Krzysztof Januszewski ◽  
Wioletta Skrzypulec-Plinta ◽  
Jerzy Chudek ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Histological Examination ◽  
Vermiform Appendix ◽  
Hormone Treatment ◽  
Distal Segment ◽  
Amyand’S Hernia ◽  
Pubic Bone ◽  
Hernia Sac ◽  
The Right

Purpose. Appendicular endometriosis mimicking appendicitis is a rare finding. Inguinal tumor in the course of appendicular endometriosis located within an inguinal hernia sac and infiltrating the periosteum of the pubic bone has not yet been described.Case Report. This paper describes a case of a rapidly enlarging, solid, unmovable, very painful upon palpation inguinal tumor, in a 36-year-old nulliparous woman. During surgery, a hard (approximately 4 cm in diameter) tumor infiltrating the periosteum of the right pubic bone and continuous with the inguinal hernia sac was dissected. The distal segment of the vermiform appendix was an element of the dissected tumor. Histological examination revealed endometriosis of the distal vermiform appendix. After 6 months of hormone treatment, she was referred for reoperation due to tumor recurrence. Once again histological examination of the resected tissue revealed endometriosis. There was no further recurrence of the disease with goserelin therapy. In addition to the case report, we present a review of the literature about endometriosis involving the vermiform appendix and the inguinal canal (Amyand’s hernia).Conclusion. This case expands the list of differential diagnoses of nodules found in the inguinal region of women.

scholarly journals Inflamed Right Inguinal Appendix in a Sixty-four-year-old Man: A Case Report and Review of the Literature

2021 ◽  
pp. 176-180
Author(s):  
Friday Emeakpor Ogbetere
Keyword(s):  
Inguinal Canal ◽  
Vermiform Appendix ◽  
The Elderly ◽  
Treatment Modalities ◽  
Amyand’S Hernia ◽  
Suture Repair ◽  
Septic Complications ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Appropriate Treatment

The vermiform appendix has varied locations ranging from retrocaecal, pelvic, paracolic to pre-ileal and postileal. Inguinal appendix or Amyand’s hernia is an extremely rare occurrence with potentially fatal complications. Rarer still is the presence of an inflamed appendix in the inguinal canal in the elderly. Due to its rarity, the pathophysiology and risk factors of the condition are still unclear. Some theorize that it is secondary to a patent processus vaginalis or perhaps the presence of a fibrous band between the hernia sac and testes.  Reported herein is a 64-year-old man who presented with a painful irreducible right inguinal swelling. An incarcerated inguinal hernia with the hernia sac harbouring an inflamed vermiform appendix was discovered at surgery. Appendectomy and a primary suture repair of the hernia were carried out. The postoperative period was uneventful. Surgical management of inflamed inguinal appendix carries a risk of septic complications. It is pertinent that every surgeon performing a hernia repair must be aware of this condition and the appropriate treatment modalities.

scholarly journals A case of ectopic testis: an intraoperative enigma instead of a diagnostic enigma

2018 ◽  
Vol 5 (3) ◽  
pp. 1127
Author(s):  
Veershetty S. D. ◽  
Manjunath K. ◽  
O. G. Prakash ◽  
K. S. Hanumanthaiah ◽  
Rajagopalan S.
Keyword(s):  
Normal Male ◽  
Mullerian Duct ◽  
Bilateral Hernia ◽  
Inguinal Herniorrhaphy ◽  
Müllerian Duct ◽  
Transverse Testicular Ectopia ◽  
Ectopic Testis ◽  
Inhibiting Factor ◽  
Bilateral Cryptorchidism ◽  
Testicular Ectopia

Author present a case of persistent mullerian duct syndrome with transverse testicular ectopia with bilateral hernia uteri inguinalis in a 17 years old boy. This is a rare congenital anomaly and an uncommon form of male pseudo-hermaphroditism characterized by the persistence of well-developed Mullerian duct structures in an otherwise normal male with a 46 XY karyotype. Transverse testicular ectopia (TTE) is one of the rarest forms of testicular ectopia. In this condition, both testes are located on one inguinal side and the opposite inguinal canal and scrotum are empty. TTE associated with PMDS is much rarer. The exact cause of PMDS is uncertain. However, it is thought to result from the failure of synthesis or release of Mullerian inhibiting factor (MIF), the failure of end organs to respond to MIF, or a defect in the timing of the release of MIF. Patients with PMDS present with unilateral or bilateral cryptorchidism and an inguinal hernia containing a fallopian tube, uterus and testis. The case was diagnosed on doing diagnostic laparoscopy followed by bilateral inguinal herniorrhaphy and right Orchidectomy. 

scholarly journals Complicated Amyand’s Hernia in a Neonate

2014 ◽  
Vol 3 (3) ◽  
Author(s):  
Parkash Mandhan ◽  
Talal Al Rayes ◽  
Mansour J Ali ◽  
Mahmoud Aldhaheri
Keyword(s):  
Inguinal Hernia ◽  
Vermiform Appendix ◽  
Clinical Entity ◽  
Amyand’S Hernia ◽  
Rare Clinical Entity ◽  
Hernia Sac ◽  
Surgical Exploration ◽  
Dysmorphic Features ◽  
Scrotal Swelling

Amyand’s hernia is a rare clinical entity in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 5-day-old neonate with dysmorphic features referred to us with a tender irreducible right inguino-scrotal swelling. Surgical exploration showed gangrenous appendix with a peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was performed.

scholarly journals Acute appendicitis located within Amyand’s hernia—a complex case with concurrent acute cholecystitis

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Adam O’Connor ◽  
Fallon John ◽  
Shariq Sabri
Keyword(s):  
Acute Appendicitis ◽  
Acute Cholecystitis ◽  
Vermiform Appendix ◽  
Complex Case ◽  
Successful Outcome ◽  
Amyand’S Hernia ◽  
Quadrant Pain ◽  
Hernia Sac ◽  
Tomography Scan ◽  
Prolonged Antibiotic Therapy

Abstract Amyand’s hernia is the presence of the vermiform appendix within an inguinal hernia sac. It is rare, and even rarer is the presence of acute appendicitis within the sac. It presents in a variety of different ways and often is only diagnosed intra-operatively. We present the case of a 90 year old male with extensive co-morbidities presenting with right upper quadrant pain, who on computed tomography scan of the abdomen, had acute cholecystitis alongside acute appendicitis within Amyand’s hernia. Ultimately given his co-morbidities, a conservative approach with prolonged antibiotic therapy was adopted, with a successful outcome. This case highlights that although classifications for treatment of Amyand’s hernia exist, careful clinical assessment is warranted in each case to ensure optimal outcome based upon individual circumstances.

scholarly journals Left Sided Amyand’s Hernia with Sliding Component

2013 ◽  
Vol 52 (189) ◽  
pp. 285-287 ◽  
Author(s):  
Ashis Pun ◽  
Roshan Khatri
Keyword(s):  
Clinical Practice ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Disease Condition ◽  
Amyand Hernia ◽  
Hernial Repair

The eponym ‘Amyand hernia’ coined in recognition of Claudius Amyand, the first surgeon to successfully perform appendectomy in a hernia sac containing appendix, refers to the vermiform appendix within inguinal hernia. Here, we present a rare case, of Amyand’s hernia in an 18 month-old boy who was brought with an inguino-scortal swelling which later on exploration was left sided Amyand’s hernia with sliding component. Amyand’s hernia is not very often seen in the clinical practice and its pre-operative diagnosis is very difficult hence awareness of this disease condition is essential for preoperative suspicion and even diagnosis of the condition. Keywords: Amyand’s hernia; acute appendicitis; hernial repair.

scholarly journals Amyand’s hernia

2019 ◽  
Vol 6 (7) ◽  
pp. 2615
Author(s):  
Vinod Kumar Nigam ◽  
Siddharth Nigam
Keyword(s):  
Inguinal Hernia ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Review Of Literature ◽  
Hernia Sac

Amyand’s hernia is the presence of a vermiform appendix in an inguinal hernia sac, the appendix may be normal or inflamed. It is named after Claudius Amyand (1685-1740), who was surgeon at St. George’s Hospital, London, U.K. He removed successfully an inflamed appendix from hernia sac of an eleven year old boy in 1736. Amyand’s hernia is a rare and difficult to diagnose preoperatively. Authors are presenting here a case of Amyand’s hernia in a 78 years old male on right side which was diagnosed on operation. Review of literature on Amyand’s hernia is done with reminder to keep Amyand’s hernia in mind while operating inguinal hernia.

scholarly journals Five different cases of ectopic testes in children: a self-experience with literature review

2019 ◽  
Vol 2 (3) ◽  
pp. e000068 ◽  
Author(s):  
Ali Egab Joda
Keyword(s):  
Abdominal Wall ◽  
Undescended Testis ◽  
Anterior Abdominal Wall ◽  
Contralateral Side ◽  
Transverse Testicular Ectopia ◽  
Ectopic Testis ◽  
Spontaneous Correction ◽  
Impalpable Testis ◽  
Retractile Testis ◽  
Testicular Ectopia

BackgroundEmpty scrotum may be due to many reasons; besides true undescended testis these are monorchia, retractile testis, atrophy of testis due to torsion and ectopic testis. The location of testis in an aberrant site after passing through the inguinal canal and leaving it via external ring is a condition called ectopic testis. The most common aberrant locations of ectopic testes are superficial inguinal pouch (Denis Browne pouch), within anterior abdominal wall, perineum, femoral canal, contralateral scrotum (transverse testicular ectopia) and prepenile area.MethodsDescription of management of five different cases of ectopic testes over a period of 10 years’ experience in pediatric surgery have been done with review of the literature about this rarity.ResultsFive different cases of ectopic testes were as follows: infants 3 months of age with right ectopic testis in anterior abdominal wall near anterior superior iliac spine, 4 months of age with left perineal testis, 6 months of age with an ectopic femoral testis on left side, 8 months of age with transverse testicular ectopia on left side and 10 months of age with right true undescended testis and left perineal testis.ConclusionsSearch for ectopic sites of testes should always be in mind during examination of patients with empty scrotum. Early surgical repair of ectopic testes is recommended, as there is no chance of spontaneous correction to the normal location. Long-term follow-up is necessary due to relatively high incidence of infertility and malignant transformation. Surgeons should be aware of the rare possibility of transverse testicular ectopia in cases of inguinal hernia with impalpable testis on the contralateral side.

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