scholarly journals A Rare Case of a Migrating Inguinal Hernia Mesh Presenting as Acute Appendicitis

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Jorge Nogueiro ◽  
Hugo Santos-Sousa ◽  
Marinho de Almeida ◽  
Luis Malheiro ◽  
Elisabete Barbosa

Acute appendicitis is a very common event. Migration of hernia mesh is rare, especially intraluminal migrations. We aim to report a case of a migrated inguinal mesh presenting as an acute appendicitis. A 58-year-old male previously submitted to ONSTEP right inguinal hernia repair with a PolySoft™ hernia patch eight years before, was admitted in the emergency department with acute appendicitis, and submitted to laparoscopic appendectomy. Intraoperatively, the “recoil ring” from the inguinal hernia patch was extended from the anterior abdominal wall to the appendix, perforating it and progressing intraluminally. Appendectomy was performed, as well as removal of the mesh by an anterior approach. Hernia mesh migration to an intraluminally position is extremely rare with only a few cases described in literature. Pathogenesis of migration is still poorly understood. Clinicians should consider hernia mesh migration in their differential diagnosis for causes of acute appendicitis, in the right clinical setting, when a previous hernia defect correction is present. To the best of our knowledge, this is the first reported case of inguinal hernia mesh migration to the appendix, presenting as acute appendicitis.


2020 ◽  
Vol 2 (4) ◽  
pp. 385-387
Author(s):  
Antonio Gligorievski ◽  
◽  
◽  

Introduction: Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The aim of this report is to describe a case of Amyand’s hernia and highlights the importance of early CT scanning in reaching the exact and early diagnosis of Amyand’s hernia. Case report: We present a rare case of a 69-year-old female patient with a history of intermittent pain in the right inguinal region is see at the emergency surgical clinic. The patient underwent a CT scan of the abdomen and a small pelvis, and an inflamed appendix was diagnosed. The inflamed appendix is herniated in the inguinal hernia sac. Computed tomography was the only modality to diagnose the hernia sac contents preoperatively. Discussion: The reported incidence of Amyand’s hernia is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis. This hernia may be present without symptoms until the inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation, or rupture. Early symptoms include tenderness and inguinal swelling. Conclusions: Computer tomography helps make an accurate and timely diagnosis of Amyand’s hernia, thus avoiding complications from delayed surgery.



2020 ◽  
Vol 4 (2) ◽  
pp. 19-23
Author(s):  
Orelvis Rodríguez Palmero ◽  
Liseidy Ordaz Marin ◽  
María Del Rosario Herrera Velázquez ◽  
Agustín Marcos García Andrade

Present the case of a 66-year-old male patient, with a history of right inguinal hernia, who was referred to the emergency room at the IESS de Chone Basic Hospital in the north of the Manabí province, Ecuador, with symptoms of Abdominal pain of more than 24 hours of evolution located in the right iliac fossa and inguinal region on the same side, in the physical examination the hernia was impossible to reduce, so he was taken to the operating room, in the intervention the cecal appendix was found swollen within the hernial sac, a condition known as Amyand's hernia.



2021 ◽  
Vol 8 (4) ◽  
pp. 1337
Author(s):  
Arul K. Chinnappan ◽  
Shanthi P. Swaminathan ◽  
Vikas Kawarat ◽  
Rajeswari Mani ◽  
Indrajit Anandakannan ◽  
...  

Inguinal hernia in females is relatively uncommon as compared to males. It is interesting to note that 1 male in 5 and 1 female in 50 will eventually develop an inguinal hernia in a lifetime. The hernia sac may contain unusual structures such as the vermiform appendix, acute appendicitis, ovary, fallopian tube and, urinary bladder. Here we present a case of 20-year-old female presented with complaints of swelling in the right inguinal region. Diagnosed as a case of right inguinal hernia with Broad ligament cyst as content. Managed by laparoscopic excision of cyst and then right Lichtenstein repair for inguinal hernia.



2019 ◽  
Vol 6 (5) ◽  
pp. 1806
Author(s):  
Akash Agrawal ◽  
Palak Vora

Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) which occurs when the appendix is a part of hernial sac. Because of anatomical position of the appendix, it is most commonly found in the right sided hernial sac and it can also be accompanied by the caecum and/or right colon. In rare case, Amyand’s hernia can appear on the left side also. Here we report a case of left sided amyand’s hernia with acute perforated appendicitis in a 58 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.



2018 ◽  
Vol 100 (8) ◽  
pp. e207-e210 ◽  
Author(s):  
K Narang ◽  
A Krishan ◽  
B Pisavadia ◽  
A Wadood ◽  
M Budhoo ◽  
...  

Inguinal hernia repair can be performed via either an open or laparoscopic technique. Use of a mesh to repair the abdominal wall defect is now common practice, leading to a reduction in hernia recurrence but also associated with a number of complications. We report a rare case of a 49-year old man who presented 3 years after laparoscopic hernia repair with right-sided abdominal pain and loose stools. Colonoscopy and computed tomography revealed a mesh and fixation devices within the lumen of the caecum and ascending colon. The mesh was successfully excised with primary closure of the bowel defect. This case highlights the importance of recognising mesh migration as a complication of hernia repair, a phenomenon which can lead to serious morbidity. We suggest that patients should be informed of this risk during the consent process, while further research is needed to investigate how this occurrence can be prevented.





2018 ◽  
Vol 5 (8) ◽  
pp. 2933
Author(s):  
Mohan C. P. ◽  
Kabalimurthy J. ◽  
Balamurugan E. ◽  
Jayavarmaa R.

The pain in the right iliac fossa corresponds with many clinical conditions, most commonly Acute appendicitis. Rarely peptic ulcer perforation presents as pain in the right iliac fossa. This condition is called as Valentino’s syndrome. This is due to the leakage of the gastric contents from the stomach or duodenum during the perforation. This induces peritonitis and sometimes the fluids get collected in the right iliac fossa causing pain, hence mimicking appendicitis. This is the case study of a 17yr old boy with right iliac fossa pain and tenderness, vomiting, fever, all corresponding to acute appendicitis. But on surgical exploration, it was found to be duodenal perforation. Valentino’s syndrome is a very misleading condition which will lead to death if proper evaluation and timely management is not done. This study emphasis the fact that Valentino’s syndrome has to be considered as the differential diagnosis in symptoms suggestive of acute appendicitis.



JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 47
Author(s):  
Liaqat Ahmad Malik ◽  
Ajaz Ahmad Malik ◽  
Parvez Mohi u din Dar

75 years was referred from SMHS hospital as a case of left-sided irreducible inguinal hernia. The patient was a known case of rheumatic heart disease on multiple drugs. The patient was having a history of constipation for 4 days and mild pain lower abdomen. All investigations were within normal limit and patient was afebrile. The abdomen was soft, nondistended. There was mild tenderness over the right inguinal region and a soft boggy swelling was palpable. It was nonreducible.  JMS 2018;21(1):47



2013 ◽  
Vol 52 (189) ◽  
pp. 285-287 ◽  
Author(s):  
Ashis Pun ◽  
Roshan Khatri

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.



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