Incarcerated vermiform appendix in a left-sided inguinal hernia

Breitenstein, Stefan; Eisenbach, Christoph; Wille, Georg; Decurtins, M

doi:10.1007/s10029-004-0263-0

Cited by 43 publications

(34 citation statements)

References 5 publications

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“…This was probably due to absence of luminal obstruction and sealing of toxic fluid in the sac due to dense adhesions. Presence of gangrenous appendix in Amyand's hernia is very rare [6]. Computer Tomography with Multi Planar Reconstruction is the most useful technique, to better visualize the appendix and its relationship with surrounding structures, thus aiding in confidently making the correct diagnosis pre-operatively [7].…”

Section: Discussionmentioning

confidence: 99%

Gangrenous Amyand’s hernia in neonate: A great clinical masquerader

Pandey¹,

Gangopadhyay²,

Gupta³

et al. 2013

OJPed

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Amyand's hernia [AH] is a rare condition with presence of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with very difficult preoperative diagnosis that does not affect management. We herein report a neonatal gangrenous AH masking all features of underlying bowel gangrene. In neonates, a great masquerader can mask all the features of underlying bowel gangrene and delay in diagnosis can be detrimental in context of outcome. A high index of suspicion of Amyand's hernia with gangrene should be kept even if child presents with irreducible hernia without features of strangulation to prevent avoidable increase in morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Gangrenous Amyand’s hernia in neonate: A great clinical masquerader

Pandey¹,

Gangopadhyay²,

Gupta³

et al. 2013

OJPed

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“…We report a case of Amyand's hernia, which was correctly diagnosed by CT in a female patient presented to the emergency department with right lower quadrant pain and clinical suspicion of a strangulated omentocele (8). The occurrence of herniated appendices is mostly reported in a right inguinal hernial sac, probably as a consequence of the normal anatomical position (9), extensive literature search revealed three reported cases of left sided Amyand's hernia (10,11,12). Amyand's hernia is different entity for the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Amyand's Hernia in Forensic Autopsy: Case Report and Review of the Literature

Türkmen¹,

Eren²,

Dokgöz³

2013

Med Arh

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T he presence of vermiform appendix in inguinal hernia is rare and is known as Amyand' s hernia. Reported case was 73 years old man admitted to the hospital with chest pain who dead soon after admittance in the emergency department of the university hospital. In the macroscopic autopsy investigation, after opening the hernial sac, the vermiform appendix and caecum were detected free, without adhesions in the hernial sac. Death was reported due to acute myocardial infarction. Investigation of this rare entity in forensic autopsy is important for scientific classification, description and also correct pre-postoperative management and appropriate surgery.

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“…Our case was also on the right side of the patient. Although rare, Amyand's hernia has also been reported on the left side but this may be associated with situs inversus, intestinal malrotation or a mobile caecum [4,5].…”

Section: Letter To Editormentioning

confidence: 99%

Meckel’s diverticulitis in Amyand’s hernia

Yıldız

Karakayali

Taş³

et al. 2012

Wien Klin Wochenschr

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The presence of the appendix within an inguinal hernia has been referred to as 'Amyand's hernia' to honour Cladius Amyand surgeon of King George II. Amyand was first to describe the presence of a perforated appendix within the inguinal hernial sac in 1735 [1]. Most cases are diagnosed intra-operatively rather than pre-operatively. Appendicular diverticulitis in an Amyand's hernia was rare [2]. We present a case of an inguinal hernia containing both the Amyand's hernia and a Meckel's diverticulum.An 86-year-old man presented with a 20-year-old history of a bilateral inguinal mass. The mass in the right groin enlarged and became painful lately. The clinical examination of the abdomen was normal. There were swellingsin both groins, the right side being larger and tender, but the skin showed no signs of inflammation. The white blood cell count and the temperature were normal. Ultrasound examination described a hernia which contains mobile bowel segments inside, on the right side. The operation was performed by an anterior approach through an inguinal incision. A sliding hernia was found with the caecum comprising a hernial wall and the appendix protruding through the hernial sac being edematous and hyperemic (Fig. 1). An appendicectomy was done. Further exploration of the bowels revealed a Meckel's diverticulitis which was managed by a wedge resection. We proceeded with the hernia repair and planted a mesh according to the Lichtenstein technique. Histopathologic examination showed a normal appendix vermiformix but revealed a Meckel's diverticulitis. Post-operative recovery was uncomplicated; the patient was discharged 2 days after admission and had no complaints till now.The presence of the appendix within an inguinal sac is an uncommon condition and is referred to as 'Amyand's hernia' . The incidence of having a normal appendix within the hernial sac is 1 % [1,3]. Most of the cases of Amyand's hernia occur on the right side, probably as a consequence of the normal anatomical position of the appendix, and also because right-sided hernias are more Wiener klinische WochenschriftThe

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Incarcerated vermiform appendix in a left-sided inguinal hernia

Cited by 43 publications

References 5 publications

Gangrenous Amyand’s hernia in neonate: A great clinical masquerader

Gangrenous Amyand’s hernia in neonate: A great clinical masquerader

Amyand's Hernia in Forensic Autopsy: Case Report and Review of the Literature

Meckel’s diverticulitis in Amyand’s hernia

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