Case series on different presentations of Amyand's hernia

Faiz, Nameer; Ahmad, Nadeem; Singh, Rajendra

doi:10.4103/2278-9596.202373

Cited by 7 publications

(12 citation statements)

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“…The surgeon might encounter unusual signs, like a Vermiform appendix partially or fully found in the hernia sac, inflamed or non-inflamed or adherent into the sac walls. An inguinal hernia does not specific for age sex or group; as reported in literature, cases of Amyand's hernia found in the neonatal period for 9-2 decades, although left-sided Amyand's hernia is reported as well [1] , [2] , [3] .…”

Section: Introductionmentioning

confidence: 82%

“…Amyand's hernia (AH), the disease has been originally clarified and handled in 1735 in Claudius [1] , [2] , [3] . Amyand Losanoff and Basson indicate Amyand's hernia may be dealt with reduction or appendectomy, based on co-morbidities, Amyand's hernia accounts for 0.1 percentage of instances of all appendicitis [1] , [3] , [4] , [5] , [6] . Appendectomy with simultaneous hernioplasty was completed prophylactically for potential future complication that may lead to appendicitis [11] .…”

Section: Discussionmentioning

confidence: 99%

“…Amyand's hernia is a very rare and uncommon form of inguinal hernia where the vermiform appendix is present in hernia sac. The incidence of having abnormal appendix within the hernia sac varies from 0.5% to 1% [1] , [2] , [3] , [4] .…”

Section: Introductionmentioning

confidence: 99%

“…The entity of Amyand's hernia has an incidence of 1% and is complicated by acute appendicitis in 0.8to 0.13% of case, whereas only 0.1%of cases complicate into acute appendicitis [1] , [2] , [3] , [8] , [12] .…”

Section: Introductionmentioning

confidence: 99%

“…It affects both adults and kids along with also the contents of the gut sac might change from Cecum, liver, uterus, fallopian tube, omentum, or some Meckel's diverticulum along with an appendix. It received its name since the first man to report that the existence of perforated appendix was Claudius Amyand in 1735 [1] , [2] , [3] , [4] , [6] .…”

Section: Introductionmentioning

confidence: 99%

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Amyand's hernia a case report

Khalid

Khan

Aziz

2021

International Journal of Surgery Case Reports

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Introduction and importance Amyand's hernia (AH) is a form of inguinal hernia which is consider as very rare and this type of hernia occurred up to 1% of all inguinal hernia cases. In this type of inguinal hernia, the content of hernia sac is appendix. Most patient with AH often remains asymptomatic and diagnosed intraoperatively. The diagnosis is challenging, since needs a high index of suspicion and imaging is key. Surgery is the mainstay management. We report a case of Amyand's hernia that was managed operatively in our medium complex public institution. Case presentation A 28 year's old man with normal body mass index (BMI) who had a history of right-side reducible linguino-scrotal swelling for 8 years, was admitted for elective right inguinal hernia repair. Two weeks back before admission, he noticed that swelling was slightly painful. Ultrasound of the abdomen reported normal findings. There was no history of abdominal pain and vomiting. Laboratory parameters were within normal limit. So, with a diagnosis of right sided partially reducible, incomplete, and indirect inguinal hernia, patient was operated for open hernia repair surgery, intra operatively we found dense adhesions within the sac, adhesions were released which revealed herniation of appendix into the inguinal canal. Appendix was mildly congested without gross evidence of inflammation. Hence, in view of noninflamed appendix, preperitoneal mesh (polypropylene) hernioplasty from Lichtenstein tension-free mesh repair was performed with appendicectomy. Postoperative period was uneventful, patient discharged at second day. Clinical discussion Amyand's hernia is very uncommon and characterized by the presence of the appendix in the hernia sac and it is 0.4–1% of all inguinal hernia cases, literature review also showed that incidence of Amyand's hernia is very rare, whereas only 0.1% of cases complicate into acute appendicitis due to late presentation and missed diagnosis. Conclusion Amyand's hernia (AH) makes up only a small proportion of most inguinal hernia cases, and its diagnosis is usually based on incidental finding intra-operatively. This condition may remain asymptomatic and behave like a normal inguinal hernia. Management of this type of hernia should be individualized according to appendix's inflammation stage, presence of abdominal sepsis and co-morbidity. With this approach it enables surgeons to manage more variations of Amyand's hernia. Laparoscopy for dealing Amyand's hernia is frequently diagnostic as well as therapeutic.

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Section: Introductionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Amyand's hernia a case report

Khalid

Khan

Aziz

2021

International Journal of Surgery Case Reports

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Amyands hernia in pediatric case: Manageable but challenging to diagnose preoperatively

Jhanwar,

Rehman

2023

IJMPO

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Vermiform appendix within inguinal hernial sac is known as amyands hernia which is rare entity. Incidence varies from 0.5% to 1%. Vermiform appendix may or may not present as appendicitis however the trapped appendix may incarcerate and may present with perforation and strangulated.Here we report a case of 2 year old baby presented as right sided inguinoscrotal, reducible, painless swelling since birth. He was diagnosed as inguinal hernia. During herniotomy appendix was found as its content.This case report aims to document another case of amyands hernia impersonating as inguinal hernia as patients often are asymptomatic with low level of suspicion even on routine ultrasonography hence surgeon may encounter unexpected intraoperative findings.

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An Amyand’s Hernia with Recurrence: Clinical and Therapeutic Particularities with Literature Review

2023

J Sur Anesth Res

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Fortuitous discovery of an Amyand hernia during surgery in a patient admitted to the emergency room for groin pain likely related to a strangulated inguinal hernia. The aim of this study is to contribute to the understanding of this disease, particularly in terms of diagnosis and optimization of surgical management. Although serious complications have been described, Amyand hernia generally has a good prognosis. However, practitioners must master the clinical and surgical peculiarities of Amyand hernia in order to ensure optimal and adequate treatment of the hernia while avoiding recurrence. Questions remain regarding its pathophysiology, clinical peculiarity, and treatment. More research and evidence are needed, which will be difficult to achieve due to the rarity of Amyand hernia.

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Case series on different presentations of Amyand's hernia

Cited by 7 publications

References 1 publication

Amyand's hernia a case report

Amyand's hernia a case report

Amyands hernia in pediatric case: Manageable but challenging to diagnose preoperatively

An Amyand’s Hernia with Recurrence: Clinical and Therapeutic Particularities with Literature Review

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