Gangrenous appendicitis in Amyand’s hernia: Surgical approach under local anesthesia. Case report and review of the literature

G, Caruso; Toscano, Chiara; Evola, Giuseppe; Benfatto, Salvatore; Reina, Martina; Reina, Giuseppe Angelo

doi:10.1016/j.ijscr.2021.01.048

Cited by 9 publications

(10 citation statements)

References 15 publications

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“…Additionally, fever, rebound tenderness, Rovsing's sign, psoas sign, diarrhea and anorexia may be observed. However one third of patients with AA complains abdominal pain in an unexpected location [11] , due to the various anatomical position of the appendix [12] . Concerning the abdominal pain localization of LSAA, Akbulut et al reported that 62.1% of the patients presented with LLQ pain, 14.7% with right lower quadrant pain, 7.3% with bilateral pain, 7.3% with left-upper quadrant pain, 6.3% with peri-umbilical pain and 2% with pelvic pain [9] .…”

Section: Discussionmentioning

confidence: 99%

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Evola

Ferrara

Fede³

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Left-sided acute appendicitis (LSAA) is a very rare cause of acute abdomen, developing in association with two types of congenital anomalies like as situs viscerum inversus (SVI) and midgut malrotation (MM). Preoperative diagnosis of LSAA is a challenge because of its rarity and atypical presentation. Imaging may be helpful for determining the correct diagnosis. Surgery represents the standard treatment of LSAA. Case presentation A 67-year-old Caucasian male with presented to the Emergency Department with a two-day history of left lower quadrant (LLQ) abdominal pain, nausea, vomiting, diarrhea and fever. Physical examination revealed LLQ abdominal rebound tenderness with guarding. Laboratory tests reported high levels of C-reactive protein and neutrophilic leukocytosis. Abdominal contrast-enhanced computed tomography showed a LSAA with intraluminal appendicoliths, fat infiltration and pericecal fluid collection in a patient with SVI. The patient underwent laparoscopic appendectomy: a gangrenous and perforated appendicitis was sectioned and removed with drainage of pericecal abscess. The postoperative course of the patient was uneventful. Clinical discussion LSAA is characterized by anatomical variation of appendix and atypical presentation. Preoperative clinical diagnosis of LSAA is very difficult and imaging may be helpful for determining the correct diagnosis, as well as confirming SVIT or MM. Laparoscopic appendectomy represents the correct treatment of LSAA. Conclusion LSAA is a rare surgical emergency that should be considered in the differential diagnosis of patients with LLQ abdominal pain. Preoperative diagnosis of LSAA needs a high index of suspicion and is facilitated by imaging. Surgery represents the appropriate treatment of LSAA.

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Section: Discussionmentioning

confidence: 99%

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Evola

Ferrara

Fede³

et al. 2022

International Journal of Surgery Case Reports

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“…The position of the appendix is extremely variable: the most common location is retrocecal (74%) followed pelvic (21%), subcecal (1.5%), preileal (1%), and postileal (0.5%) [9] . The appendix can also show atypical locations such as subhepatic, left-sided [2] , intraherniary [10] , lateral pouch, mesocolic and lumbar [11] . The first case of SHAA, due to non-descent of caecum, was first described in 1955 by King [12] .…”

Section: Discussionmentioning

confidence: 99%

Subhepatic perforated acute appendicitis in a patient with midgut malrotation: A case report and review of the literature

Evola

Lanaia

Cantella

et al. 2022

International Journal of Surgery Case Reports

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“…7 If Amyand's hernia is accompanied by appendicitis, the common surgical approach is to proceed with appendectomy and herniorrhaphy, together with standard measures to prevent sepsis. 8 Mortality rate from intraperitoneal dissemination and subsequent abdominal sepsis is as high as 14-30%. 2…”

Section: P R O V I S I O N a L L Y A C C E P T E D F O R P U B L I C ...mentioning

confidence: 99%

A rare case of type II Amyand’s hernia

et al. 2023

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Amyand's hernia represents an inguinal hernia containing an appendix within the hernia sac. This extremely rare condition occurs in approximately 1% of all inguinal hernias. This report describes the case of an 84-year-old male who presented with a right inguinal mass that intraoperatively turned out to be Amyand's hernia type-II with a gangrenous and perforated appendix. An appendectomy and peritoneal lavage were performed, followed by a hernioplasty where a modified Bassini repair was used. The patient fully recovered, and was discharged from the hospital on the fourth day. A non-reducible inguinal hernia containing a perforated appendix is a very rare emergency that requires immediate intervention to prevent abdominal sepsis. Therefore, while examining an inguinal hernia, the possibility of Amyand's hernia should always be considered. Keywords: Amyand's hernia, Acute appendicitis, Inguinal hernia.

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Gangrenous appendicitis in Amyand’s hernia: Surgical approach under local anesthesia. Case report and review of the literature

Cited by 9 publications

References 15 publications

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Left-sided acute appendicitis in a patient with situs viscerum inversus totalis: A case report

Subhepatic perforated acute appendicitis in a patient with midgut malrotation: A case report and review of the literature

A rare case of type II Amyand’s hernia

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