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

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.

2019 ◽  
Vol 2 (2) ◽  
pp. 150-154
Author(s):  
EI Ogwuche ◽  
CT Soo ◽  
AE Animashaun ◽  
M Ochoga

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.


2019 ◽  
Vol 2 (2) ◽  
pp. 150-154
Author(s):  
EI Ogwuche ◽  
CT Soo ◽  
AE Animashaun ◽  
M Ochoga

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.


Author(s):  

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.


Author(s):  
Tomohiro Kurahachi ◽  
Naruki Higashidate ◽  
Naoki Hashizume ◽  
Suguru Fukahori ◽  
Shinji Ishii ◽  
...  

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.


2021 ◽  
Vol 71 (1) ◽  
pp. 367-69
Author(s):  
Ghufran Ahmed ◽  
Imran Ashraf ◽  
Muhammad Ali Muazzam ◽  
Muhammad Shoaib ◽  
Muhammad Farooq Shahid ◽  
...  

Amyand’s hernia is an inguinal hernia with trapped appendix; its frequency is approximately 1%. Acute appendicitis is a rare clinical presentation (0.1%) of Amyand’s hernia. It was first described by Claudius Amyand in 1735. We report a patient of Amyand’s hernia, three years of age, presented with right inguinoscrotal hernia. Right side groin discomfort was present. Herniotomy was performed revealing anon-inflamed appendix within the inguinal canal for which a classic appendectomy was done.


Cureus ◽  
2020 ◽  
Author(s):  
Anupam K Gupta ◽  
Oscar A Vazquez ◽  
Salah J El Haddi ◽  
Michael Dedwylder ◽  
Jose F Yeguez

2005 ◽  
Vol 71 (3) ◽  
pp. 208-209 ◽  
Author(s):  
Josh Greenberg ◽  
Tracey D. Arnell

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.


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.


2019 ◽  
Vol 3 (3) ◽  
pp. 23
Author(s):  
Luis Hidalgo Calderón ◽  
Xavier Jarrín E. ◽  
Verny Cedeño Alvarado

  La hernia de Amyand es una enfermedad rara que se observa en aproximadamente el 1 % de todas las hernias, y sus complicaciones como la apendicitis aguda o perforada, son aún más raras, aproximadamente el 0,1 %. Su diagnóstico es muy difícil en el período preoperatorio y suele ser un hallazgo incidental. Se recibió un paciente masculino de setenta y tres años de edad que acudió al servicio de emergencias debido a dolor abdominal tipo punzante de moderada intensidad localizado en región inguinal derecha de 4 días de evolución, no refirió otros síntomas acompañantes. Se diagnosticó una hernia inguinal Nyhus III, Amyand tipo 2 y se le realizó apendicectomía incidental y reducción del saco herniario. Durante el postoperatorio no se observaron complicaciones.   Palabras clave: Hernia de Amyand, hernia de Garengeot, hernia inguinal, apendicitis aguda, apéndice cecal.   Abstract Amyand's hernia is a rare disease seen in approximately 1% of all hernias, and its complications such as acute or perforated appendicitis are even rarer, approximately 0.1%. Its diagnosis is very difficult in the preoperative period and is usually an incidental finding. A seventy-three-year-old male patient was received who came to the emergency service due to stabbing abdominal pain of moderate intensity located in the right inguinal region of 4 days of evolution, he did not refer other accompanying symptoms. A Nyhus III, Amyand type 2 inguinal hernia was diagnosed and incidental appendectomy and reduction of the hernial sac were performed. During the postoperative period, no complications were observed.   Keywords: Amyand hernia, Garengeot hernia, inguinal hernia, acute appendicitis, cecal appendix.


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