scholarly journals Amyand’s Hernia, State of the Art and New Points of View

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Guido Mantovani ◽  
Michela De Angelis ◽  
Francesco Di Lecce ◽  
Annalisa Pascariello ◽  
Domenico Risio ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
State Of The Art ◽  
Perforated Appendicitis ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Case Presentation ◽  
Urgent Surgery ◽  
Perforated Appendix ◽  
Points Of View

Background. Amyand’s hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. Case Presentation. A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini’s technique were performed. Conclusions. Preoperative diagnosis of AH is rare; however it could be useful for surgeon to choose operative approach. Treatment of AH depends on grade of appendix inflammation and/or perforation. The technique utilized to repair hernia depends largely on surgeon’s preferences; the presence of inflamed or perforated appendix is not an absolute contraindication for using a prosthetic mesh.

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 Amyand’s Hernia Complicated by Omental Infarct Presenting as Acute Scrotum: Report of a Case and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Reza Khorramirouz ◽  
Amin Bagheri ◽  
Alireza Aalam Sahebpour ◽  
Abdol-Mohammad Kajbafzadeh
Keyword(s):  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Emergency Room ◽  
Amyand’S Hernia ◽  
Acute Scrotum ◽  
Review Of The Literature ◽  
Strangulated Hernia ◽  
Hernia Sac ◽  
Perforated Appendix

Inguinal hernia with acute appendicitis known as Amyand’s hernia is uncommon. It may clinically manifest as acute scrotum, inguinal lymphadenitis, or strangulated hernia. The presentation of Amyand’s hernia with acute scrotum has been rarely described. Also, the manifestation of infarcted omentum in the inguinal hernia has been described in one case previously. However, the coexistence of perforated appendix with infarcted omentum in the hernia sac which manifests acute scrotum has not been described previously. Herein, we described a case of a 5-year-old boy, admitted with right tense, painful, and erythematous scrotum in the emergency room. The diagnosis of herniated appendicitis was performed preoperatively by ultrasound. Moreover, the ischemic omentum was confirmed during surgery.

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 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 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 COMPLICATED AMYAND’S HERNIA IN A NEONATE MIMICKING INGUINAL ABSCESS

2019 ◽  
Keyword(s):  
Inguinal Hernia ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Normal Appendix ◽  
Lower Quadrant ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Swelling ◽  
Right Lower Quadrant ◽  
Separate Incision

Amyand’s hernia is a rare form of hernia in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 12 days-old neonate with features of inguinal abscess referred to us with a tender irreducible right inguino-scrotal swelling. On examination, there was tender swelling right inguino-scrotal region with abdominal wall edema extending up to right lower quadrant. Surgical exploration showed long appendix with a gangrenous 1/3 of distal appendix, peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was performed. Amyand’s hernia presentation is variable: from a reducible inguinal hernia containing a normal appendix, to acute abdomen due to perforation of acute appendicitis secondary to incarceration. Only imaging can verify the contents of an incarcerated inguinal hernia. Surgical approach varies depending upon findings. In our case, we used separate incision for appendectomy because of a very long appendix and high lying caecum in right hypochondrium with difficulty to bring base of appendix down for ligation.

scholarly journals Left-side incarcerated Amyand’s hernia with appendix and caecum provoke by early banana diet: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Supangat ◽  
Henggar Allest Pratama ◽  
Nanda Eka Sri Sejati ◽  
Brenda Desy Romadhon ◽  
Ina Sulistyani
Keyword(s):  
Inguinal Hernia ◽  
Amyand’S Hernia ◽  
Early Feeding ◽  
Incarcerated Hernia ◽  
Hernia Sac ◽  
Case Presentation ◽  
Common Location ◽  
History Of ◽  
The Common ◽  
The Right

Abstract Background Amyand’s hernia was an unusual condition defined by the presence of an appendix located in the inguinal hernia sac. Its prevalence was 1% of all inguinal hernia in children. The clinical manifestation of Amyand’s hernia was depending on hernia’s stage, an incarcerated hernia will present with an inguinal mass following by pain and motility disorder. It could lead to abdominal distention in the late stage. The common location of Amyand’s hernia was on the right side, the left side was uncommon. Early feeding on infants could provoke symptoms of bowel obstruction (SBO). More than 76% of infants in Java, Indonesia was given banana as solid food in infants before six months old. There is a correlation between the early banana diet and SBO. Amyand’s hernia could present as morbidity of early banana diet. Case presentation We describe a case of two months old infant present with an incarcerated left inguinal hernia and history of early banana diet that performed herniotomy procedure. During the operation, we found left-side incarcerated Amyand’s hernia with appendicitis, excoriation caecum, and sticky banana mass. Conclusion This case suggest the possibility of early feeding of banana diet may provoke incarceration of an inguinal hernia and if the incarcerated hernia content contains the appendix, then an Amyand's hernia.

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