scholarly journals Inflamed Right Inguinal Appendix in a Sixty-four-year-old Man: A Case Report and Review of the Literature

2021 ◽  
pp. 176-180
Author(s):  
Friday Emeakpor Ogbetere
Keyword(s):  
Inguinal Canal ◽  
Vermiform Appendix ◽  
The Elderly ◽  
Treatment Modalities ◽  
Amyand’S Hernia ◽  
Suture Repair ◽  
Septic Complications ◽  
Hernia Sac ◽  
Incarcerated Inguinal Hernia ◽  
Appropriate Treatment

The vermiform appendix has varied locations ranging from retrocaecal, pelvic, paracolic to pre-ileal and postileal. Inguinal appendix or Amyand’s hernia is an extremely rare occurrence with potentially fatal complications. Rarer still is the presence of an inflamed appendix in the inguinal canal in the elderly. Due to its rarity, the pathophysiology and risk factors of the condition are still unclear. Some theorize that it is secondary to a patent processus vaginalis or perhaps the presence of a fibrous band between the hernia sac and testes.  Reported herein is a 64-year-old man who presented with a painful irreducible right inguinal swelling. An incarcerated inguinal hernia with the hernia sac harbouring an inflamed vermiform appendix was discovered at surgery. Appendectomy and a primary suture repair of the hernia were carried out. The postoperative period was uneventful. Surgical management of inflamed inguinal appendix carries a risk of septic complications. It is pertinent that every surgeon performing a hernia repair must be aware of this condition and the appropriate treatment modalities.

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.

9 CASES OF AMYAND’S HERNIA IN CHILDREN

2021 ◽  
pp. 118-123
Author(s):  
M.KH. MALIKOV ◽  
◽  
F.SH. RASHIDOV ◽  
F.B. BOKIEV ◽  
F.M. KHAMIDOV ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Postoperative Period ◽  
Inguinal Canal ◽  
Posterior Wall ◽  
Vermiform Appendix ◽  
Greater Omentum ◽  
Amyand’S Hernia ◽  
Inguinoscrotal Hernia ◽  
Hernial Sac

9 children aged 4 to 14 years underwent a right-sided inguinal hernia repair, at the same time, a vermiform appendix was found in the hernial sac. All patients were hospitalized with a diagnosis of «Congenital right-sided inguinoscrotal hernia», bilateral hernias were not observed. Objectively, there were all signs of the disease, all hernias were reducible. The presence of the appendix in the hernial sac before the operation was not diagnosed either clinically or by ultrasound. The contents of the hernial sac had a thickened and long vermiform appendix, a greater omentum, and in two cases – a cecum of the type of sliding hernia. The children were operated on under general anesthesia: appendectomy and plastic surgery of posterior wall of inguinal canal were performed. No complications were observed in the postoperative period.

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 Perforated necrotic appendix in Amyand’s hernia treated with appendicectomy and simple suture repair of the inguinal hernia

2019 ◽  
Vol 12 (11) ◽  
pp. e231765 ◽  
Author(s):  
Muhamamd Isfandyar Khan Malik ◽  
Joshua Abbas ◽  
Paul Shuttleworth ◽  
Nafees Qureshi
Keyword(s):  
Inguinal Hernia ◽  
Amyand’S Hernia ◽  
Suture Repair ◽  
Small Bowel Mesentery ◽  
Good Recovery ◽  
Hernia Sac ◽  
Blood Tests ◽  
Testicular Pain ◽  
Scrotal Hernia ◽  
Scrotal Swelling

A 50-year-old man was referred to the emergency department by his general practitioner with a tender right-sided irreducible inguinal hernia (previously reducible), right-sided testicular pain and scrotal swelling. Clinical examination revealed a non-reducible, tender right inguinal-scrotal hernia and swollen right scrotum. Blood tests showed raised inflammatory markers. The patient went on to have a CT scan which was reported to show an indirect right inguinal-scrotal hernia possibly containing terminal ileum and small bowel mesentery. The scan also showed increased infiltrate changes within the hernia sac suggesting incarceration with possible early strangulation but no obvious evidence of bowel obstruction. The patient was taken to the operating theatre and found to have a large right inguinal-scrotal hernia containing pus and a perforated necrotic appendix. He went to have an appendicectomy and sutured repair of the hernia. Postoperatively, the patient made a good recovery and was discharged 2 days postsurgery.

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 Amyand's Hernia in a Neonate Presenting with Inguinoscrotal Erythema: A Difficult Diagnosis

2019 ◽  
Vol 07 (01) ◽  
pp. e69-e71
Author(s):  
Ahmed Mohamed ◽  
Anas Fagelnor
Keyword(s):  
Similar Case ◽  
Vermiform Appendix ◽  
Amyand’S Hernia ◽  
Rare Entity ◽  
Incarcerated Inguinal Hernia ◽  
Difficult Diagnosis ◽  
Menopausal Women ◽  
Post Menopausal ◽  
Term Baby ◽  
High Index Of Suspicion

AbstractThe presence of the vermiform appendix, whether inflamed or not, inside a hernial sac is known as Amyand's hernia. Due to nonspecific signs, preoperative diagnosis is not common and requires a high index of suspicion along with awareness of this rare entity. It is more commonly mistaken for a strangulated or incarcerated inguinal hernia. Most cases of reported Amyand's hernia with appendicitis were in pre-term babies, infants, and post-menopausal women. We present a similar case in a 19-day-old, full-term baby presenting with inguinoscrotal edema, erythema, and without a palpable inguinoscrotal mass.

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 Acute appendicitis located within Amyand’s hernia—a complex case with concurrent acute cholecystitis

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Adam O’Connor ◽  
Fallon John ◽  
Shariq Sabri
Keyword(s):  
Acute Appendicitis ◽  
Acute Cholecystitis ◽  
Vermiform Appendix ◽  
Complex Case ◽  
Successful Outcome ◽  
Amyand’S Hernia ◽  
Quadrant Pain ◽  
Hernia Sac ◽  
Tomography Scan ◽  
Prolonged Antibiotic Therapy

Abstract Amyand’s hernia is the presence of the vermiform appendix within an inguinal hernia sac. It is rare, and even rarer is the presence of acute appendicitis within the sac. It presents in a variety of different ways and often is only diagnosed intra-operatively. We present the case of a 90 year old male with extensive co-morbidities presenting with right upper quadrant pain, who on computed tomography scan of the abdomen, had acute cholecystitis alongside acute appendicitis within Amyand’s hernia. Ultimately given his co-morbidities, a conservative approach with prolonged antibiotic therapy was adopted, with a successful outcome. This case highlights that although classifications for treatment of Amyand’s hernia exist, careful clinical assessment is warranted in each case to ensure optimal outcome based upon individual circumstances.

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.

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