Right sided Amyand's hernia: a rare case report

Mahajan, Amit; Pawar, Pranay; Luther, Anil; Haque, Parvez David

doi:10.5455/2349-2902.isj20140514

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…As stated previously, AH is characterized by the presence of the cecal appendix, inflamed or not, inside any hernial sac. It is more frequent in men and almost exclusive to the right side [4, 10] due to the anatomical location of the cecal appendix [11]. There are exceptions to this in which AH has been reported on the left side, but this is a rare condition possibly associated with one of four options: situs inversus, intestinal malrotation, mobile caecum, or a longer cecal appendix [2].…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Velásquez-Bueso

Sánchez-Sierra²,

Villeda-Rodríguez³

et al. 2019

Case Reports in Surgery

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Introduction. Inguinal hernia is the most common condition in both male and female subjects. Amyand’s hernia is characterized by the presence of the cecal appendix, swollen or not, inside the inguinal hernia sac. It is a rare condition and represents 1% of all the inguinal hernia pathology. Littre’s hernia (LH) is a condition defined by the presence of a Meckel diverticulum (MD) inside a hernial sac. It is an extremely rare condition, with less than 50 cases reported in the last three hundred years, present in only 1% of all diagnosed MD. Case Presentation. A six-year-old male patient presented with a history of two bilateral protruding masses in the inguinal-scrotal region that have continued to grow since birth. No gastrointestinal symptoms were reported. Physical examination showed a bilateral inguinoscrotal mass which increased in size during the Valsalva maneuver. Surgical intervention was carried out with a bilateral hernia repair being performed under an anterior method, the surgical invagination of the MD within the small intestine and the appendix within the caecum. Conclusion. Both entities should be considered as a differential diagnosis when it comes to a pediatric patient with unilateral or bilateral inguinal hernias with an uncertain etiology, allowing an early diagnosis and prompt treatment. We present here the first recorded case of both Amyand’s hernia and Littre’s hernia presenting simultaneously in a pediatric patient.

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Section: Discussionmentioning

confidence: 99%

“…This presentation is more frequent in male patients, both adults and children [2]. It represents 1% of all the inguinal hernia pathology, and its finding is a rare condition for which reported cases are unusual [2–4]. The first recorded description of a case of this kind was by René Jacques Croissant de Garengeot in 1731.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Velásquez-Bueso

Sánchez-Sierra²,

Villeda-Rodríguez³

et al. 2019

Case Reports in Surgery

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“…There is, however, an exception where the appendix is on the left side: situs inversus, intestinal malrotation, a very loose cecum or a large appendix [1–3,10,14] . In some cases, it can be accompanied by the cecum, bladder, ovarian, fallopian tube, omentum or a Meckel diverticulum [8,9] .…”

Section: Discussionmentioning

confidence: 99%

Amyand hernia: Case report and review of the literature

Morales-Cárdenas

Ploneda-Valencia

Sainz-Escárrega

et al. 2015

Annals of Medicine &Amp; Surgery

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IntroductionAmyand Hernia is a rare disease seen in approximately 1% of all hernias, complications of it, like acute appendicitis, or perforated appendicitis are even more rare, about 0.1%. Its diagnosis is very difficult in the pre-operative period; it is usually an incidental finding.Presentation of caseThis paper describes the case of a forty-year-old male patient, which was presented to the outpatient clinic of surgery with an incarcerated right side inguinal hernia without any signs of ischemic complications. He was admitted, and an hernioplasty was performed, as an incidental finding we encountered an Amyand hernia treated without appendectomy and placement of a prosthetic mesh without any complications.DiscussionThis disease represents a very challenging diagnosis, seven years ago the standardization of management had already been established; in this case we encountered a type 1 Amyand's Hernia so we performed a standard tension free hernioplasty without complications.ConclusionAmyand hernia is a rare condition, which represents two of the most common diseases a general surgeon has to face. Standardization of treatment is still ongoing and more prospective studies need to be done. This case demonstrates that this pathology must remain in the mind of the surgeons especially in the event of a strangulated hernia and offer a comprehensive review.

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“…In the cases, where an inflamed, suppurative, or perforated appendicitis was encountered, no prosthetics material should be used due to the increased risk of surgical site infection as well as possible fistulae formation from the appendicular stump. In these cases, in addition to appendectomy, a Shouldice technique should be considered due to its lower recurrence rate [14,15], this will depend on the surgeon's decision, experience, and domain over tension inguinal hernia repair techniques. With the new prosthetic materials such as biological mesh, current surgical approach in Amyand type 2 hernias suggests its use to prevent a recurrence.…”

Section: Case Reportmentioning

confidence: 99%

Amyand’s Hernia: A Rare Case Report

Gujar¹,

Golchha²,

Patel³

et al. 2020

IJCR

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Amyand's hernia is an atypical and rare hernia characterized by the herniation of the vermiform appendix into the inguinal sac. Here, we report the case of a 60-year-old male patient presented with complaints of the right-sided reducible inguinal hernia. On exploration as an incidental finding, we encountered an Amyand's hernia treated with appendectomy and hernioplasty without any complications. Hence, we should keep in mind to rule out Amyand's hernia during hernioplasty.

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Right sided Amyand's hernia: a rare case report

Cited by 8 publications

References 5 publications

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Amyand hernia: Case report and review of the literature

Amyand’s Hernia: A Rare Case Report

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