Diverticular Abscess Presenting as an Incarcerated Inguinal Hernia

2005 ◽  
Vol 71 (3) ◽  
pp. 208-209 ◽  
Author(s):  
Josh Greenberg ◽  
Tracey D. Arnell
Keyword(s):  
Inguinal Hernia ◽  
Percutaneous Drainage ◽  
Acute Diverticulitis ◽  
Sigmoid Resection ◽  
Amyand’S Hernia ◽  
Open Drainage ◽  
Incarcerated Inguinal Hernia ◽  
Laparoscopic Sigmoid Resection ◽  
Urgent Surgery

Acute diverticulitis may present with an abscess that is usually pericolonic or pelvic and can be treated with urgent surgery or percutaneous drainage. We present a case of a diverticular abscess presenting as a left inguinal hernia. This is analogous to an Amyand's hernia in which an inflamed appendix is found in a right inguinal hernia. The patient presented was managed with open drainage of the hernia and subsequent laparoscopic sigmoid resection in the same hospitalization.

scholarly journals Amyand's Hernia: Perforated Appendix in an Incarcerated Inguinal Hernia

Cureus ◽  
2020 ◽  
Author(s):  
Anupam K Gupta ◽  
Oscar A Vazquez ◽  
Salah J El Haddi ◽  
Michael Dedwylder ◽  
Jose F Yeguez
Keyword(s):  
Inguinal Hernia ◽  
Amyand’S Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Perforated Appendix

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 An innovative repair for a re-recurrence of an incarcerated inguinal hernia

2014 ◽  
Vol 96 (8) ◽  
pp. e18-e19 ◽  
Author(s):  
N Merali ◽  
A Verma ◽  
T Davies
Keyword(s):  
Inguinal Hernia ◽  
Innovative Approach ◽  
Incarcerated Inguinal Hernia ◽  
Risk Of Recurrence ◽  
Inguinoscrotal Hernia ◽  
Urgent Surgery

A patient presented with a recurrent incarcerated inguinoscrotal hernia requiring urgent surgery. The defect was through the gap in the mesh left originally for the cord structures. As a result, a modified funnel repair was performed. An innovative approach was adopted that was best suited to tackling and reducing the risk of recurrence.

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 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 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 A CASE OF INCARCERATED INGUINAL HERNIA OF THE APPENDIX (AMYAND'S HERNIA) DIAGNOSED BY PREOPERATIVE CT SCAN

2007 ◽  
Vol 68 (9) ◽  
pp. 2398-2402 ◽  
Author(s):  
Toshiyuki SUWA ◽  
Joe SAKURAI ◽  
Kazuhiro AOKI ◽  
Takeharu ENOMOTO ◽  
Hisashi SHIMADA ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Ct Scan ◽  
Amyand’S Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Preoperative Ct

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 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.

scholarly journals An Appendiceal Carcinoid Tumor within an Amyand’s Hernia Mimicking an Incarcerated Inguinal Hernia

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Gregorios Christodoulidis ◽  
Konstantinos Perivoliotis ◽  
Alexandros Diamantis ◽  
Dionysios Dimas ◽  
Michael Spyridakis ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Carcinoid Tumor ◽  
Laboratory Tests ◽  
Emergency Operation ◽  
Right Hemicolectomy ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Appendiceal Carcinoid ◽  
Serum Crp

Introduction.We report the case of an appendiceal carcinoid tumor within an Amyand’s hernia, presenting as an incarcerated right inguinal hernia.Presentation of Case.A 52-year-old male presented in the emergency department due to a persistent right inguinal pain. Clinical examination revealed a tender right groin mass. Laboratory tests revealed leukocytosis and an increased serum CRP. Under the diagnosis of an incarcerated right inguinal hernia, an emergency operation was taken. Intraoperatively, an inflamed appendix and a part of the cecum were found in the hernia sac. The operation was completed with an appendectomy and a modified Bassini hernia repair. Histological examination revealed a carcinoid tumor, resulting in the performance of a right hemicolectomy.Discussion.Amyand’s hernia is estimated to account for 0.4% to 0.6% of all inguinal hernias. Coexistence of an Amyand’s hernia and a neoplasia is quite rare. Carcinoids are the most frequent tumors found in the appendix, with the size of the primary tumor to be considered the most important prognostic factor and the basis upon which the operative plan is decided.Conclusion.A malignancy of the appendix should always be in the differential diagnosis of a right inguinal mass, in order to provide optimum surgical treatment.

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