Amyand's hernia complicated with appendicitis

Abstract

Introduction: The finding of a vermiform appendix within the peritoneal sac of an indirect inguinal hernia occurs in approximately 1% of cases. However, the presence of appendicitis within an inguinal hernial sac is found only in 0.08% of the general population.Case report: We present the case of a 58-year-old male patient that was admitted with abdominal pain associated with a small non-reducible right groin mass.Discussion: To establish the correct diagnosis preoperatively, an abdominal and pelvic CT scan is mandatory.Conclusion: Acute appendicitis in an Amyand's hernia is a very rare entity that can be easily misdiagnosed preoperatively. CT is extremely useful in reaching the correct preoperative diagnosis.

Acute appendicitis within an incisional hernia: a type of Amyand’s hernia

“…Abdominal ultrasonography may demonstrate a tubular structure extending into the hernia sac and signs of acute inflammation, suggestive of acute appendicitis, such as dilation of the appendix, inability to compress the appendix and thickened walls. Tomography may confirm these findings, demonstrating a blind ending tubular structure arising from the caecum and extending to the hernia sac 10. Despite the advancement in imaging techniques, diagnosing Amyand’s hernia remains very challenging.…”

Amyand's hernia with concurrent appendicitis: A case of interval laparoscopic herniorrhaphy and literature review

“…Controversy exists regarding AH repair with mesh when an inflamed or perforated appendix is present. The published literature initially suggested a combined treatment of appendicectomy and hernia repair [ 12 ]. However, mesh repair should be deferred if the inguinal canal has severe inflammation because the introduction of prosthetic material can trigger an inflammatory response and nidus infection [ 8 ].…”

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

“…Hernia complications, acute appendicitis, peritonitis, cutaneous complications, and urological emergencies should all be considered in differential diagnoses 3 . Acute appendicitis in an AH is a rare condition that is easy to miss before surgery 15 . AH looks to be more common in children and thus, pediatric surgeons should be aware of it.…”

“… 3 Acute appendicitis in an AH is a rare condition that is easy to miss before surgery. 15 AH looks to be more common in children and thus, pediatric surgeons should be aware of it. However, its prevalence is too low to be included in the “first‐line” differential diagnosis.…”