Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand’s hernia

Ebaugh, Eric Paul; Hessel, Kara; Udobi, Kahdi

doi:10.1016/j.ijscr.2016.05.026

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…An Amyand's Hernia is defined as an inguinal hernia containing an incarcerated appendix [2]. This is a rarely encountered entity since, more commonly, an inguinal hernia will contain small or large bowel, or only omentum.…”

Section: Discussionmentioning

confidence: 99%

“…More specifically, he described a perforated appendix in an inguinal hernia sac. This pathology is an even rarer variation of an Amyand's hernia [2]. Overall, an AH has been described in less than 1.7% of hernias in the literature thus far, with the cases of an inflamed or perforated incarcerated appendix making up only about 0.1% of the cases.…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

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

Giorga¹,

Al-Taan²,

Krivan³

2019

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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

Giorga¹,

Al-Taan²,

Krivan³

2019

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“…Fıtık kesesi içerisindeki appendiks non-fizyolojik yani inflame ve ödemli ise genel kabul gören yaklaşım apendektomi uygulamaktır. Ancak non-inflame yani fizyolojik olarak görüldüğünde apendektomi yapılmasına gerek olmadığına inanılsa da az sayıda yapılmış olan olgu çalışmasında, apendektomi sonrasında herhangi bir nüks herni veya cerrahi yara yeri enfeksiyonu bildirilmemiştir (5) . Amyand hernilerde diğer bir tartışma apendiksin durumuna bağlı degişen herni onarımı için polipropilen mesh yerleştirilip yerleştirilmemesidir.…”

Section: Discussionunclassified

Approach to Amyand hernia and review of the related literature

Altundal¹,

Kocakuşak²,

Dincer³

et al. 2019

IKSST

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Kasık fıtığı kesesi içerisinde apendix vermiformisin bulunmasına Amyand herni ismi verilmektedir. Tüm kasık fıtıkları içinde %1'inden az oranda görülen bu durumun tanınması ve tedavisi özellik göstermektedir. Acil servisimize inkarsere sağ inguinal herni ile başvuran 59 yaşındaki erkek hasta, fizik muayenede inkarsere hernisinin redükte olması nedeniyle oluşabilecek tüm riskleri kabul ederek servis takibini ve cerrahi operasyonu kabul etmemiştir. Hastanın elektif ameliyatında Amyand herniye rastlanmış ve cerrahi olarak tedavi edilmiştir. Genel cerrahi pratiğinde önemli bir yere sahip olan kasık fıtıklarının içinde nadir rastlanan olgunun anemnezi ile birlikte uygulanan cerrahi tekniğin literatür eşliğinde sunulması amaçlanmıştır.

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“…20 Delays in diagnosis have resulted in perforation, gangrene, abscess formation and even necrotizing fasciitis of the abdominal wall and groin. 10 Previous reported mortality ranged from 14-30% due to peritoneal spread of the septic process. 4 Early diagnosis and treatment has improved this to 5.5% in recent series.…”

Section: Discussionmentioning

confidence: 99%

Perforated appendicitis with peri-appendicular abscess within an incisional hernia: a report of an unusual case

Kabir¹,

Yong²

2018

Int Surg J

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Amyand’s hernia is a rare phenomenon referring to the presence of an appendix within an inguinal hernia. Hernial appendicitis occurs even more rarely in 0.07-0.13% of cases. Cases have been described in incisional hernias of laparoscopic port sites, nephrectomies and various other incisions. Author described an unusual case of an elderly lady who presented with nausea, fever and a tender abdominal mass over a previous paramedian incision. She was thought to have an incarcerated incisional hernia and was counselled for emergency surgical repair. Intra-operatively, she was found to have a perforated appendicitis with a large peri-appendicular abscess within an incisional hernia. The base of the appendix was unhealthy thus a limited right hemicolectomy was performed and the hernia was repaired primarily. Such cases present atypically and present a diagnostic challenge. Delays in recognition and timely intervention may lead to high morbidity and mortality. The authors hoped to raise awareness of this condition and contribute to the medical literature surrounding this unusual pathology.

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Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand’s hernia

Cited by 5 publications

References 17 publications

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

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

Approach to Amyand hernia and review of the related literature

Perforated appendicitis with peri-appendicular abscess within an incisional hernia: a report of an unusual case

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