Amyand Hernia: A Rare Surgical Variation

Abstract

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.

Amyand hernia as a rare cause of abdominal pain: A case report and literature review

“…Although a perforated appendix in the groin hernia is uncommon, it is an urgent condition that necessitates infection control to prevent sepsis and should not be delayed because it could result in catastrophic outcomes. 8,10,11 Papaconstantinou et.al 5 reported the mean age of patients was 58.5 years, the male-to-female ratio was 5.4:1, and right-sided AH was more common than left-sided in their systematic review. In addition, appendiceal inflammation confirmed either by direct observation of the appendix during surgery or after pathologic examination was present in 54.2% of AH cases, while a perforated appendix was noted in 16% of patients.…”

“…6 Imaging techniques like ultrasonography and computerized tomographic (CT) scan help us to better recognize involved intra-abdominal organs resulting in a more efficient surgery plan. 11 Although CT can be useful for preoperative diagnosis, it is not routinely used in underdeveloped countries due to cost and staffing issues. In this situation, ultrasound might be an appropriate diagnostic method.…”

“…The rate of complications (wound infections in particular) rises when an appendix is inflamed or gangrenous. Although a perforated appendix in the groin hernia is uncommon, it is an urgent condition that necessitates infection control to prevent sepsis and should not be delayed because it could result in catastrophic outcomes 8,10,11 …”

“…Although a perforated appendix in the groin hernia is uncommon, it is an urgent condition that necessitates infection control to prevent sepsis and should not be delayed because it could result in catastrophic outcomes. 8 , 10 , 11 …”