Hernie De Amyand Compliquee De Gangrene De Fournier : A Propos D’un Cas Et Revue De La Litterature

Abstract

Amyand hernia is defined by the presence of appendix herniating into the deep inguinal ring. It's a rare condition. We report the case of a 75-yearold male patient, presenting alcoholism, undernutrition and ischemic cardiopathy which required angioplasty and anticoagulation, admitted for a painful and hot swelling in right inguinal region evolving for five days. Blood analysis revealed infectious syndrome and important hemostasis disorders. Computed Tomography scan showed perforated appendix herniating through inguinal ring associated to a thrombus in the left ventricle. The evolution was marked by a Fournier's gangrene. After getting the normalization of the hemostasis values, a laparotomy was performed for appendicectomy, drainage. The right testicle, necrotized, was removed, with a wide debridement of the fasciitis. Although the parameters were stable during the surgery, the patient presented a heart failure with unsuccessful cardiopulmonary resuscitation.

Claudius Amyand’s Hernia in Children: About Two Cases in the Pediatric Surgery Unit in the General Surgery Department at Ignace Deen Chu

“…The anatomical variations of the cecum in the peritoneal cavity and of the appendix on the cecum can cause the appendix to be found in all hernias of the anterolateral wall of the abdomen [5]. Amyand's hernia has also been described on the left in connection with cases of intestinal malrotation and situs inversus [3]. In our study, the hernia was on the right in both patients; these agree with the data in the literature that inguinal hernias are most often on the right.…”