A rare case of appendicitis incarcerated in an inguinal hernia

Abstract

Amyand's hernia was coined after Claudius Amyand (1660–1740), who was the first to describe the presence of a perforated appendix in a hernial sac and also was the first to perform a successful appendectomy in 1735. It is an exceptionally rare condition in which the hernia itself contains the appendix, which may not necessarily be inflamed. The presence of an inflamed appendix further contributes to the rarity of this case. We report a case of acute appendicitis brought on by its incarceration in the inguinal hernia.

Therapeutical and Pharmaco-Chemical Conduct for Amyand Hernia

“…Whether to perform appendicectomy remains controversial. It is considered that an appendicectomy performed at the first operation decreases the risk of a future appendicitis and hence further common medication (with their previously described adverse reactions) anaesthesia and surgery [16][17][18][19][20][21][22][23][24][25][26][27]. We did not perform an appendicectomy.…”

Amyand's hernia: a mini review and two case reports

“…As suggested by Ofili, the retraction and manipulation of the appendix from the hernia might be sufficient to elicit an inflammatory process in the future [20]. In fact, 2 cases of acute appendicitis have been reported following inguinal hernia repair without incidental appendicectomy, and 11 cases of herniorrhaphy with incidental appendicectomies without any wound infection or hernia recurrence [1]. The use of mesh to repair the hernia has also been a topic of controversy.…”

“…An Amyand's hernia is a rarely encountered type of hernia, characterised by the appendix becoming incarcerated within an inguinal hernia, irrespective of whether the appendix itself is normal, inflamed or exhibiting any other pathology. This phenomenon was first described by Claudius Amyand (1660-1740), a French surgeon primarily known for performing the first appendicectomy successfully on a 1year-old boy in 1735 [1]. More specifically, he described a perforated appendix in an inguinal hernia sac.…”

Hernia de Amyand: presentación de un caso

“…Al respecto, se han planteado varias opiniones: algunos autores (21) proponen la apendicectomía profiláctica y afirman que disminuyen la morbilidad, la mortalidad y los costos, sin aumentar los riesgos quirúrgico y anestésico. Otros señalan que la resección de un órgano con contenido fecal viola la técnica aséptica con la posibilidad de aumento de las complicaciones infecciosas, en contraste con una cirugía limpia como la hernioplastia inguinal, cuyo tratamiento estándar es actualmente protésico (8,22). …”