Gangrenous appendicitis contained within a Spigelian hernia

Anand, Rohan; Rahesh, Jasmin; Ciubuc, John; Esparza-Leal, Karla; Schuster, Abbie; Jacob, Roy; Brooks, Steven E.; Richmond, Robyn; Ronaghan, Catherine

doi:10.1080/08998280.2020.1822131

Cited by 5 publications

(6 citation statements)

References 14 publications

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“…However, multiple intra-abdominal organs have been reported to have been found in the SH as large bowel, stomach, gallbladder, Meckel diverticulum, ovary, testis, leiomyoma of the uterus, and even bladder [1]. The involvement of appendix has also been described in various case reports [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] (table 1).…”

Section: Epidemiologymentioning

confidence: 99%

“…Martín-Mattar [5] 2020 Necrotic appendicitis Transverse incision: appendectomy and hernioplasty with suture of aponeurosis of the external oblique muscle and sublay mesh placement of Prolene® Page [6] 2020 None Conservative management for patient's preference Sobrado [7] 2020 Intraparietal appendix in previous liver transplantation Open appendectomy and hernia repair with polypropylene mesh below the external oblique fascia Anand [8] 2020 Necrotic and perforated appendix with surrounding purulence Exploratory laparotomy revealing the distal end of the appendix going through the abdominal defect into the hernial sac. Due to the difficulty in grasping, a counterincision was made over the area of the defect.…”

Section: Author Year Intraoperative Finding Treatmentmentioning

confidence: 99%

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Vermiform Appendix Incarcerated in Spigelian Aponevrosis Defect (VAISAD hernia)

Fiume¹

2022

JSCRI

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Spigelian hernia (SH) is infrequent accounting less than 2% of all abdominal hernias. The presence of vermiform appendix within the hernial sac is of further peculiarity. While the authors who first described inguinal hernia containing the appendix (Amiand’s hernia) and femoral hernia containing the appendix (De Garengeot’s hernia) are well known and their name was given to the disease, SH containing the vermiform appendix has no specific name. This study provides a literature search on this topic and a review of the available case reports is conducted. A description of a clinical case of an incarcerated SH in which the vermiform appendix was located within the hernial sac is presented with attached the video of its mini-invasive surgical treatment. Based on literature findings, an attempt is made to give a specific name to this condition (Vermiform Appendix Incarcerated in Spigelian Aponevrosis Defect) using the acronym VAISAD hernia, in such a way so that it can be specifically and easily searched. Moreover, a classification of its severity and related complications, similarly to what was done for Amiand’s hernia, is carried out in order to establish the optimal approach in the surgical treatment case by case.

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Section: Epidemiologymentioning

confidence: 99%

Section: Author Year Intraoperative Finding Treatmentmentioning

confidence: 99%

Vermiform Appendix Incarcerated in Spigelian Aponevrosis Defect (VAISAD hernia)

Fiume¹

2022

JSCRI

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“…1 Usual contents are omentum or small bowel, though large bowel, stomach, gallbladder, ovary, testis, and bladder, although rare, have been described. 1,3 Yet, it is even more rare to manage an inflamed appendix within a spigelian hernia. 3 Only 13 cases of appendicitis within a spigelian hernia have ever been described, with only 7 of them demonstrating evidence of perforation.…”

mentioning

confidence: 99%

“…1,3 Yet, it is even more rare to manage an inflamed appendix within a spigelian hernia. 3 Only 13 cases of appendicitis within a spigelian hernia have ever been described, with only 7 of them demonstrating evidence of perforation. As such, this unique pathology presents a challenging scenario from both diagnostic and therapeutic standpoints.…”

mentioning

confidence: 99%

“…As such, this unique pathology presents a challenging scenario from both diagnostic and therapeutic standpoints. 4 All prior reports resulted in an appendectomy in acute setting, followed by elective hernia repair at a later date, [1][2][3][4] with some authors going as far as to define it as a standard of care for all cases of hernial appendicitis. 2 However, considering the recent evolution of non-operative approach to certain subgroups of perforated appendicitis, it raises the possibility of treating this pathology in a similar fashion when encountered within a spigelian hernia.…”

mentioning

confidence: 99%

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Non-Operative Management of Perforated Appendicitis Within a Spigelian Hernia

Maizlin

2021

The American Surgeon™

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Laparoscopic treatment of small bowel incarceration and perforated appendix within right-sided spigelian hernia: case report and review of the literature

Tufo,

Marte,

Guida

et al. 2023

Il Giornale Di Chirurgia - Journal of the Italian Association of Hospital Surgeons

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Spigelian hernia is a rare disease and a quarter of the patients present with incarceration or strangulation of the hernia content and require emergency surgery. We report a case of an elderly obese woman with comorbidity presented with abdominal pain and right flank palpable mass. The contrast enhanced computer tomography showed bowel incarceration within right side spigelian hernia. Only at laparoscopic exploration a diagnosis of appendicitis within spigelian hernia was made and the patient underwent laparoscopic appendicectomy and open debridement of the abscess with primary closure of the defect. The postoperative stay was uneventful. Few cases of appendicitis within spigelian hernia have been reported in literature and, as in our case, the diagnosis is usually difficult and laparoscopy has a key role in the diagnosis and treatment of those patients also in emergency setting. Early repair decreases the rate of morbidity related to this condition.

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Gangrenous appendicitis contained within a Spigelian hernia

Cited by 5 publications

References 14 publications

Vermiform Appendix Incarcerated in Spigelian Aponevrosis Defect (VAISAD hernia)

Vermiform Appendix Incarcerated in Spigelian Aponevrosis Defect (VAISAD hernia)

Non-Operative Management of Perforated Appendicitis Within a Spigelian Hernia

Laparoscopic treatment of small bowel incarceration and perforated appendix within right-sided spigelian hernia: case report and review of the literature

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