scholarly journals Amyand’s Hernia: A Rare Case Report

2021 ◽  
Vol 17 (2) ◽  
pp. 159
Author(s):  
Fadli Robby Amsriza ◽  
Rizka Fakhriani
Keyword(s):  
Inguinal Hernia ◽  
Elective Surgery ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Treatment Method ◽  
Amyand’S Hernia ◽  
Hernia Surgery ◽  
Hernia Sac ◽  
Inguinal Hernia Surgery ◽  
The Right

Abstract: Amyand’s hernia is described in the inguinal hernia sac as being the presence of an appendix vermiformis. It is a rare condition the incidence is about 1 per cent of all inguinal hernias. It is often diagnosed incidentally during inguinal hernia surgery. The main treatment method of Amyand’s hernia is surgery. We report a case of 63 years old man who presented with right inguinal groin bulge for 1 month with the previous repaired right inguinal hernia 5 years ago. On clinical examination revealed a 6 cmx8 cm firm, nontender, irreponible mass in the right inguinal region. He was diagnosed as right sided irreponible inguinal hernia. He was undergoing the elective surgery. Intra-operative, the hernia sac was laterally found in the inferior epigastric vessels and separated from sperm cord to deep inguinal ring. The hernia sac was opened. A non-inflamed appendix was seen. Appendectomy was performed, and the hernia was repaired by Halsted’s repair. Amyand’s hernia is a rare condition. The correct diagnosis is usually made intraoperative.   Keywords: Amyand’s hernia, appendectomy, hernia repair, inguinal hernia.

scholarly journals P144 SPERMATIC CORD LIPOSARCOMA - A VERY RARE FINDING DURING INGUINAL HERNIA SURGERY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Christian Gröger ◽  
Lena Kundel ◽  
Hardwig Riediger
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Rare Condition ◽  
Minimal Invasive ◽  
Tumor Board ◽  
Fatty Tissue ◽  
Industrialized Countries ◽  
Hernia Surgery ◽  
Rare Finding ◽  
Inguinal Hernia Surgery

Abstract Aim Repair of inguinal hernia is one of the most common operations in general surgery in industrialized countries. Isolated spermatic cord liposarcoma is a very rare soft tissue tumor. Despite standardized diagnostic algorithms for inguinal hernia, it could be difficult to predict such a rare finding. Material and Methods We report a case of inadvertent inguinal liposarcoma excision during hernia surgery in a 72-year-old male patient. Except for polyposis coli there were no further illnesses. Results After a minimal invasive transabdominal preperitoneal (TAPP) repair of a symptomatic inguinal hernia last year a persistent scrotal swelling developed. Computed tomography (CT) showed a protrusion of fatty tissue into the scrotal sac. Diagnosis of scrotal hernia was made. We performed an open Lichtenstein procedure. The final pathologic examination revealed a highly differentiated liposarcoma. Staging was completed and the case was presented to a multidisciplinary sarcoma tumor board at our institution. As recommended, a inguinal reoperation was performed with wide excision. Conclusions Although a very rare condition, spermatic cord liposarcoma should be considered as a possible differential diagnosis for inguinal hernia surgery.

scholarly journals Open Maloney Repair for Adult Inguinal Hernia, 5 Years Experience in A Remote District

2018 ◽  
Vol 10 (1) ◽  
pp. 6-10
Author(s):  
Sami Ahmad ◽  
Nadim Ahmed ◽  
Jawher Lal Singha ◽  
Ferdoush Rayhan ◽  
ASM Farhad Ul Hassan ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Average Duration ◽  
Study Group ◽  
Hernia Surgery ◽  
Inguinal Hernias ◽  
Inguinal Hernia Surgery ◽  
Number Of Patients ◽  
Duration Of Surgery ◽  
Secondary Closure ◽  
The Right

Background: In a remote district city of Bangladesh, inguinal hernias were repaired by Maloney (Darning) method.Efficacy of Darning repair was compared in this study.Aims and Objectives: The aim of this study was to determine the feasibility of doing Maloney ( Darn ) repair for adult inguinal hernias by specialist surgeons at remote districts . Age of the patients in ourstudy were above 20 years.Study Design: A descriptive retrospective study.Materials and Methods:In our study we included 2000 patient of inguinal hernia surgery repairs from May 2012 through June 2017. In the patients of the study group we repaired inguinal hernia by Maloney ( Darning) technique. Number of patients were 2000 ( male 1990 [99.5%] female 10 [.5%] with a mean age of 45.7 years. There were 1002(50.1%) hernias on the right side, 890(44.5%) were on the left side and 108(5.4%) were bilateral. Among the hernias 1419 ( 70.9%) were indirect, 575 (28.7%) were direct and 4 (0.2%) were of both direct and indirect (Pantoolon type), 2 (0.1%) were of femoral hernia. All were of primary hernias, recurrent hernias and hernias in patients with apparently weak musculature were repaired by Lychtenistein method with prolein mesh and were not included in this stpudy. 60 (3%) patients had feature of incarceration and 20 (1%) patients presented with obstruction. Among the obstructed hernias 8 (.4%) had strangulation and in 2 (.1%) resection and anastomosis were required for gangrenous ileum. In rest of the cases of strangulation circulation returned after incising the constricting ring and hot mob compression. We used IV antibiotic for 24 hours stated with induction of anaesthesia followed by oral for next 6 days. We used Injection Ceftrixone followed by Cefixime and in some patients Flucloxacillin.Statistics Analysis Used: Simple frequencies, proportion and cross tabulation.Results: Average duration of surgery was 70 minutes. There was no perioperative mortality. 90 (4.5%) patients developed mild subcutaneous wound infection, haematoma occurred in 160 ( 8% ) patients and seroma found in 300 ( 15% ) patients. All haematoma and seroma subsided gradually. Only 1 patient needed secondary closure for infected wound gap. The average duration of hospitalization was 3 days. All patients in study group are still in contact with me. Three patients (0.15%) had recurrences. All the recurrent cases reported within 6 months of their operations. Among the three age of 2 patients was above 60 and one patient of age above 70 had Maloney hernia repair for obstructed hernia.Conclusion:In remote places where prolene mesh is not available or is costly we can repair inguinal hernia by Maloney operation with very simple antibiotics with good results in comparison with other methods.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 6-10

scholarly journals A rare case of Amyand’s hernia with acute appendicitis in a 69-year-old woman: a case report

2020 ◽  
Vol 2 (4) ◽  
pp. 385-387
Author(s):  
Antonio Gligorievski ◽  
◽  
◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Ct Scanning ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
History Of ◽  
The Right ◽  
Surgical Clinic

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.

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 Early Kinetics of Calprotectin in Plasma Following Inguinal Hernia Surgery

2021 ◽  
Author(s):  
Kristina Sejersen ◽  
Aleksandra Havelka ◽  
Pearl Sanchez Salas ◽  
Anders Larsson
Keyword(s):  
Inguinal Hernia ◽  
Inflammatory Response ◽  
Bacterial Infections ◽  
Elective Surgery ◽  
Study Cohort ◽  
Neutrophil Granulocytes ◽  
Hernia Surgery ◽  
Necrosis Factor Alpha ◽  
Inguinal Hernia Surgery ◽  
Kinetics Of

Abstract Background: Calprotectin is one of the most abundant proteins of neutrophil granulocytes. It is released upon activation of neutrophils and is considered as a sensitive and clinically useful marker for neutrophil mediated inflammation, including bacterial infections. However, the early kinetics of calprotectin activation in humans following inflammatory activation has hitherto been unknown. Aim: The aim of the present study was to determine the early phase of the kinetics of calprotectin in plasma following a standardized temporary mild inflammatory response, using uncomplicated inguinal hernia surgery as a model. Methods: The study cohort consisted of 17 patients (16 men, age 41-79, 1 woman, age 54), undergoing elective surgery for uncomplicated hernia with laparoscopic (n=5) or open surgery (n=12), and without signs of inflammatory disease (C-reactive protein (CRP) < 5 mg/L) at entry of study. Calprotectin and inflammatory markers CRP, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-a), and procalcitonin were measured in plasma at start of surgery (0), and following 2, 4, 6, and 24-36 h after inguinal surgery. Results: Values of calprotectin increased significantly (p=0.02532) at 2 h following surgery (mean 0.99 mg/L) from the lowest basal levels (mean 0.58 mg/L), and continued to increase to reach highest level at 24-36 h (mean 1.58 mg/L) postsurgery. This contrasts to IL-6 and CRP, for which an elevation was found first later, with a transient elevation at 4 h postsurgery for IL-6 (p=0.03098), and a later elevation for CRP in the 24-36 h postsurgery samples (p= 0.00124). No significant increase was seen at any analysed time point postsurgery for TNF-a, or procalcitonin. Conclusion: Calprotectin levels in plasma were rapidly elevated (within 2 h following mild inflammatory response associated with inguinal hernia surgery and continued to increase at later time points (24-36 h). Increase of calprotectin was observed several hours prior to increase in IL-6 or CRP. However, during the first 24 h the levels induced by the mild inflammatory response caused by inguinal hernia surgery were not significantly exceeding the normal reference range, suggesting that calprotectin can be useful for early detection of postsurgical infections.

scholarly journals Amyand’s Hernia: an Up-to-Date Review of the Literature

2017 ◽  
Vol 60 (3) ◽  
pp. 131-134 ◽  
Author(s):  
Dimitrios Patoulias ◽  
Maria Kalogirou ◽  
Ioannis Patoulias
Keyword(s):  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Relevant Literature ◽  
Rare Condition ◽  
Diagnostic Approach ◽  
Amyand’S Hernia ◽  
Review Of The Literature ◽  
Hernia Sac ◽  
Comprehensive Review ◽  
Review Study

Amyand’s hernia is defined as an inguinal hernia, containing the appendix within the hernia sac. Incidence of this rare condition rises up to 1% (0.19–1.7%) of all inguinal hernia cases. Inflammation of the appendix within the inguinal sac is even rarer, as it corresponds to 0.1% (0.07–0.13%) of all Amyand’s hernia cases. After a comprehensive review of the limited relevant literature, we aim through this review study to describe the pathophysiology of inflammation of the appendix – contained in the hernia sac – and present the latest data about the diagnostic approach and surgical treatment of Amyand’s hernia.

scholarly journals Acute Osteomyelitis of the Symphysis Pubis after Inguinal Hernia Surgery

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Recep Tekin ◽  
Rojbin Ceylan Tekin ◽  
Figen Ceylan Cevik ◽  
Remzi Cevik
Keyword(s):  
Inguinal Hernia ◽  
Rare Complication ◽  
Rare Condition ◽  
Pubic Symphysis ◽  
Symphysis Pubis ◽  
Acute Osteomyelitis ◽  
Inflammatory Condition ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery ◽  
Complication Of Surgery

Osteomyelitis of pubic symphysis is infectious inflammatory condition of the symphysis pubis and rare complication of surgery around inguinal and groin region. It should be kept in mind in the differential diagnosis of lower pelvic pain and should be sought in cases of pelvic insufficiency fractures. Herein, we present a case of a 55-year-old man with osteomyelitis of the symphysis pubis following inguinal hernia surgery for diagnosis and management of this rare condition.

scholarly journals Acute appendicitis in Amyand’s hernia: ultrasound findings and histopathology correlation. A case report

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Gerardo E Ornelas-Cortinas ◽  
Juan R Cantu-Gonzalez ◽  
Rolando Enríquez-Rodriguez ◽  
Alberto Montemayor-Martinez ◽  
Adrian Negreros-Osuna ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Imaging Modality ◽  
Amyand’S Hernia ◽  
Cross Sectional ◽  
Hernia Sac ◽  
Good Imaging ◽  
Ultrasound Findings ◽  
Sectional Plane ◽  
Uncommon Condition ◽  
The Right

Abstract Amyand’s hernia is an uncommon form of inguinal hernia. It represents <1% of all hernias and its complication with appendicitis is still rarer with 0.1–0.13% being reported. A 78-year-old woman was taken to the emergency room with pain in the right groin. The patient was assessed by ultrasound with the clinical suspicion of an inguinal hernia. We present the ultrasonographic features of appendicitis within an inguinal hernia sac. A tubular image that terminated in a blind-ended tip in the longitudinal plane and a target image on the cross-sectional plane were consistent with the sonographically demonstrated appendix. The diagnosis of Amyand’s hernia is difficult in the clinical setting. The patient is frequently referred to surgery with the diagnosis of an incarcerated hernia. Ultrasound is a good imaging modality that detects and characterizes this uncommon condition.

scholarly journals Total extraperitoneal approach in large inguino-scrotal hernias: an institutional approach

2016 ◽  
Vol 18 (3) ◽  
pp. 51 ◽  
Author(s):  
Tuhin Shah ◽  
S Shah ◽  
BR Joshi ◽  
RJ Karkee ◽  
RK Gupta
Keyword(s):  
Inguinal Hernia ◽  
Operating Time ◽  
Operation Time ◽  
Hernia Surgery ◽  
Recurrence Rates ◽  
Hernia Sac ◽  
Tep Repair ◽  
Inguinal Hernia Surgery ◽  
Total Extraperitoneal ◽  
The Mean

Introduction: Since 2 decades laparoscopichernia repair has gained key role in uncomplicated inguinal hernia surgery with advantages showed by several trials and guidelines. However, its role in complicated inguinal hernia such as incarcerated, obstructed and inguino-scrotal is debatable. Cases of large inguino-scrotal raises objection to laparoscopic procedure because of anticipated problems and complications in dissecting extended hernia sac even though posterior approach is advocated as repair of choice for complicated cases. Here, we reviewed our series of patients undergoing TEP in a limited time frame.Method: Between March 2013 and June 2014, 50 consecutive patients underwent TEP repair for inguinoscrotal hernia. Patient demographics, hernia characteristics, operating time, surgical technique, conversion rate, intraoperative, postoperative complications and recurrence was recorded and analyzed using MS Excel.Results: 50 patients were recorded, 26 had unilateral and 24 had bilateral hernias. Mean age was 52 (22-72) years. The mean operation time was 70 (50-140) min. Bilateral repairs took 45% (18 min) longer than for unilateral repairs (52 + 12 min). Two (12.5%) patients required combined open surgery to transect the incarcerated omentum. There was no mortality. Morbidity was limited to asymptomatic seroma formation in 2 (12.5%) patients; 1 patient of combined open-TEP approach had wound infection, both treated conservatively. Mean follow up was 6.3 months; we recorded 2 recurrences (12.5%). The mean length of hospital stay was 1.8 days.Conclusion: We conclude that TEP can be safely employed for complicated inguinal hernias repair. Surgical experience in mandatory with tailored technique to reduce morbidity and achieve good clinical outcome with acceptable recurrence rates.

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