Case of anisakiasis presenting as an Amyand hernia

2020 ◽  
Vol 13 (7) ◽  
pp. e234822
Author(s):  
William Hope ◽  
Faye Smith-Chakmakova ◽  
Justin Snyder
Keyword(s):  
Inguinal Hernia ◽  
Signs And Symptoms ◽  
Preoperative Imaging ◽  
Medical Work ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Amyand Hernia ◽  
Low Threshold ◽  
Patient’S History ◽  
Work Up

This is a case of a 31-year-old male patient who presented with signs and symptoms of an incarcerated inguinal hernia. The patient’s preoperative imaging showed a tubular structure in the inguinal canal and given the patient’s history at presentation, there was a concern for herniation of the appendix, known as an Amyand hernia. On laparoscopy, there was no evidence of appendiceal involvement and a standard open inguinal hernia was completed. On the final pathology of the hernia sac, roundworms were identified with Y-shaped lateral cords suggesting infection by Anisakis spp. On a further interview with the patient, he revealed that he had recently travelled to Alaska and had consumed raw salmon on a fishing trip. This case demonstrates the importance of a thorough social and travel history. One should also have a low threshold to broaden the differential diagnosis when medical work-up deviates from the standard course.

scholarly journals Amyand’s Hernia: A Challenging Diagnosis

2021 ◽  
pp. 57
Author(s):  
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Surgical Repair ◽  
Incidental Finding ◽  
Amyand’S Hernia ◽  
Open Approach ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Amyand Hernia ◽  
Outpatient Settings

Background: Hernia repair surgery is a procedure frequently performed today, both in elective or outpatient settings as in an emergency context. Hernia is defined as a condition in which part of an organ or its fascia protruded through the wall of the cavity containing it. Quite often in the emergency department incarcerated hernias are found, and in most cases, the content of the hernia sac is the omentum or small intestine. In very rare instances, the appendix can be found inside the hernia sac. When the appendix is found in the hernia sac it is called an “Amyand Hernia”, regardless if it is inflamed or not, with the incidence of appendicitis in an inguinal hernia being 0.07-0.13%. Preoperative diagnosis of an Amyand hernia is a clinical and often a Radiological challenge, being in many cases misdiagnosed as an incarcerated inguinal hernia. Usually, the diagnosis of Amyand’s hernia is an incidental finding during surgical repair of an inguinal hernia. There is still no real consensus on the ideal surgical treatment approach for this pathology. Clinical Case: A 72-year-old man, with a known reducible right inguinal hernia awaiting surgical repair presented to the Emergency Department with acute abdominal pain, nausea, vomiting and a painful right groin mass. He was diagnosed with an incarcerated right inguinal hernia and taken to the operating room for emergency surgery. An open approach was performed with a transverse right inguinal incision and the inflamed appendix was identified inside the inguinal sac. The patient was submitted to an appendectomy and subsequently, using the Bassini technique, had the incarcerated inguinal hernia corrected. Conclusion: Preoperative clinical and imaging diagnosis of amyand´s hernia is rare and difficult. More prospective studies should be carried out in order to standardize the treatment of this pathology. The diagnosis of Amyand´s hernia should be in the surgeon’s mind especially in the case of a strangulated inguinal hernia, as shown in this case.

De Garengeot Hernia: Appendicitis within a Femoral Hernia

2005 ◽  
Vol 71 (6) ◽  
pp. 526-527 ◽  
Author(s):  
Gabriel Akopian ◽  
Magdi Alexander
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
18Th Century ◽  
Hernia Sac ◽  
Rare Finding ◽  
Amyand Hernia ◽  
De Garengeot Hernia

Many surgeons are familiar with Amyand hernia, which is an inguinal hernia sac containing an appendix. However, few surgeons know of the contribution of Rene Jacques Croissant de Garengeot, an 18th century Parisian surgeon, to hernias. He is quoted in the literature as the first to describe the appendix in a femoral hernia sac. We discuss the case of an 81-year-old woman who presented with appendicitis within a femoral hernia, a rare finding at surgery that is almost never diagnosed preoperatively. We also propose crediting Croissant de Garengeot by naming this condition after him. Although his full last name is Croissant de Garengeot, for convenience we suggest the simple diagnosis of “de Garengeot hernia.”

scholarly journals Spinal Brucellosis: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
James M Rizkalla ◽  
Khalid Alhreish ◽  
Ishaq Y Syed
Keyword(s):  
Case Report ◽  
Signs And Symptoms ◽  
Radiographic Findings ◽  
Common Location ◽  
Uncommon Case ◽  
Spine Surgeon ◽  
Patient’S History ◽  
Hispanic Male ◽  
Work Up ◽  
Rare Diagnosis

Introduction: The most common location of infection of brucellosis is the musculoskeletal system. It is estimated that the spine is involved in 2–54% of brucellosis infections, with the lumbar spine most commonly affected. We report an uncommon case of brucellar spondylodiscitis, in addition to the pathology, common presentation, and management of spinal brucellosis through additional literature review. Case Report: A 65-year-old Hispanic male presented to an orthopedic spine surgeon with signs and symptoms concerning for metastatic disease to the spine. Investigation revealed that the patient had the rare diagnosis of brucellar spondylodiscitis. This only became apparent after detailed questioning of the patient’s history revealed his employment within a Mexican meat slaughterhouse and a regular consumer of unpasteurized Mexican cheeses. Conclusion: Although uncommon, brucellosis spondylodiscitis should remain as a differential diagnosis in any patient who presents with back pain and fever. Detailed history taking and thorough physical examination remain vital in the work-up of brucellar spondylodiscitis. Understanding the pathology, radiographic findings, and necessary work-up are essential to properly treat this infection. Keywords: Spine, Brucella, spinal brucellosis, infection, spondylodiscitis, discitis, abscess.

scholarly journals Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Ioannis Karanikas ◽  
Argyrios Ioannidis ◽  
Petros Siaperas ◽  
Georgios Efstathiou ◽  
Ioannis Drikos ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Sac ◽  
Amyand Hernia ◽  
Simultaneous Rupture

scholarly journals Petroleum jelly-induced penile paraffinoma with inguinal

2013 ◽  
Vol 6 (4) ◽  
pp. 137 ◽  
Author(s):  
István Sejben ◽  
András Rácz ◽  
Mihály Svébis ◽  
Márta Patyi ◽  
Gábor Cserni
Keyword(s):  
Inguinal Hernia ◽  
Histopathological Examination ◽  
Granulomatous Inflammation ◽  
Mineral Oil ◽  
Petroleum Jelly ◽  
Diagnostic Dilemma ◽  
Incarcerated Inguinal Hernia ◽  
Patient’S History ◽  
Histopathologic Findings ◽  
Clinical Characteristic

Chronic granulomatous inflammation may develop after injectingforeign oily substances into the penis. The disorder affects mainlythe site of administration, but regional lymphadenopathy or evensystemic disease can occur. We present a 39-year-old man withpetroleum jelly-induced penile lesion and unilateral inguinal lymphadenitis mimicking incarcerated inguinal hernia. At hernioplasty no hernial sac was found, but enlarged lymph nodes suspicious for malignancy were identified. The histopathologic findings of these nodes were consistent with mineral oil granuloma. Paraffinoma of the male genitalia can cause various clinical features posing a differential diagnostic dilemma. Regional lymphadenitis may be the main clinical characteristic. Patient’s history, physical and histopathological examination are required to establish the diagnosis.

scholarly journals A Rare Case of Sigmoid Colon Carcinoma in Incarcerated Inguinal Hernia

Diagnostics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 99
Author(s):  
Dario Baldi ◽  
Vincenzo Alfano ◽  
Bruna Punzo ◽  
Liberatore Tramontano ◽  
Simona Baselice ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Inguinal Hernia ◽  
Rare Case ◽  
Whole Body ◽  
Surgical Operation ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Common Diagnosis ◽  
Contrast Agent Injection ◽  
Sigmoid Cancer

Incarcerated inguinal hernia is a common diagnosis in patients presenting a painful and nonreducible groin mass. Although the diagnosis is usually made by physical examination, the content of the hernia sac and the extent of the surgical operation may vary and can require multimodal imaging integration (e.g., ultrasonography, computed tomography); the usual finding is a segment of small bowel and, less commonly, large bowel. We present an extremely rare case of a sigmoid cancer incarcerated in a left inguinal hernia and infiltrating the spermatic cord. The patient underwent whole-body computed tomography (CT) with contrast agent injection for staging, followed by a left hemicolectomy paralleled by a unilateral orchiectomy.

scholarly journals Obstructed Left Amyand’s Hernia in a Seven Month Male Infant with Meatal Stenosis: Case Report and Review of Literature

2019 ◽  
Vol 2 (2) ◽  
pp. 150-154
Author(s):  
EI Ogwuche ◽  
CT Soo ◽  
AE Animashaun ◽  
M Ochoga
Keyword(s):  
Inguinal Hernia ◽  
Male Infant ◽  
Amyand’S Hernia ◽  
Review Of Literature ◽  
Bilateral Inguinal Hernia ◽  
Rare Form ◽  
Incarcerated Inguinal Hernia ◽  
Meatal Stenosis ◽  
Comparative Review ◽  
Amyand Hernia

Left Amyand Hernia (AH) is a very rare form of inguinal hernia. It presents commonly as an incarcerated inguinal hernia and intraoperative diagnosis is usually the rule. This is a report of a 7 months old male infant presenting with bilateral inguinal hernia, including a complicated left AH, with associated mobile caecum and meatal stenosis. He had bilateral herniotomy, transhernial appendectomy and meatotomy and did well post-operatively. A comprehensive comparative review of all 35 reported cases of left AH in the literature was undertaken alongside this report.

scholarly journals Incarcerated Appendix Epiploica in Inguinal Hernia Sac: Treatment with Laparoscopic TAPP Approach—Report of a Rare Case

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Abdullah Yildiz
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Sigmoid Colon ◽  
Rare Case ◽  
Internal Inguinal Ring ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Transabdominal Preperitoneal ◽  
Direct Hernia ◽  
Mesh Hernioplasty

Appendix epiploica (AE) in an incarcerated inguinal hernia sac is very rare. We herein report the case of a 57-year-old man admitted to the emergency department with complaints of nausea, swelling, and pain in the left inguinal area. He was diagnosed with left incarcerated inguinal hernia and treated laparoscopically with transabdominal preperitoneal (TAPP) mesh hernioplasty. During the operation, AE, lodged in the direct hernia sac, was seen to originate from the sigmoid colon. The narrow internal inguinal ring was incised at the 2 o’clock position using a monopolar hook, and the hypertrophic AE was reduced to the abdomen and resected. The patient was discharged uneventfully on the second postoperative day.

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