Sonographic diagnosis of appendicitis within a right inguinal hernia (Amyand's hernia)

Coulier, B; Pacary, Jennifer; Broze, B.

doi:10.1002/jcu.20266

Cited by 45 publications

(37 citation statements)

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“…It has been noted that both CT scan and ultrasonography can be helpful in providing a preoperative diagnosis. In our patient, we had both a CT and ultrasound, which were suggestive of herniation; however, an inflamed appendix was not initially suspected [7][8][9]. After reviewing the literature, reviewing our images, and discussing this condition with our radiologists, we believe that preoperative imaging may be beneficial in preparing the surgeon for the proper approach to the repair.…”

Section: Discussionmentioning

confidence: 75%

“…Most literature currently supports the preferred method of surgical treatment as a primary hernia repair and appendectomy through a right groin incision [6,8]. At the date of this article, the authors are only aware of 3 publications that attempted laparoscopic repair at the time of procedure [3,7,11].…”

mentioning

confidence: 95%

“…The diagnosis itself is rarely made before surgery secondary to its unusual presentation. Recent literature states preoperative ultrasonography or computed tomography (CT) may provide some benefit, though these sources admit that there is still very little radiologic literature discussing this hernia, which may make it difficult for the radiologist to diagnose [7][8][9][10].…”

mentioning

confidence: 97%

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Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Tycast

Kumpf

Schwartz

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 75%

mentioning

confidence: 95%

mentioning

confidence: 97%

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Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Tycast

Kumpf

Schwartz

et al. 2008

Journal of Pediatric Surgery

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“…Litres,Mydyl's hernias and Amyand hernia are named after their contents, meckels diverticulam , portion of surface of the small intestinal loop and appendix respectively..others are femoral, incisional and interstitial hernias etc [Table1], [13]The single case presentation is illustrating paediatric rt side congenital inguinal hernia and the content being inflamed appendix [ Fig 2].A pilot study of congenital paediatric hernia by a team in Karnataka highlighted some interesting facts. The present prospective, hospital based study was undertaken in Amyand hernia is encountered in both extremes of life.…”

Section: Discussionmentioning

confidence: 99%

“…Only CECT and MultiDetector CT can capture the morbid anatomy of Amynad hernia and contents. [13] Haemogram only displayed mild to moderate leucocytosis Other investigations are not of much help to decide diagnosis and treatment. In the absence of CECT & MDCT Surgery is indicated only on presumptive incarcerated and strangulated hernia conclusion [Fig 1].…”

Section: Diagnostic Problemsmentioning

confidence: 99%

Amyand Hernia

Murugesan¹

2013

IOSR-JDMS

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Image of the Month—Diagnosis

2013

JAMA Surg

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Incarcerated Inguinal Hernia T he computed tomographic scan findings were consistent with an incarcerated right inguinal hernia with acute appendicitis in the hernia sac. A laparoscopic appendectomy was performed, an inflamed internal ring was found, and a temporary repair was performed by dissecting and suturing a portion of the adjacent lateral vesicoumbilical ligament to the internal inguinal ring (Figure 3). A 1-cm T1a appendiceal carcinoid tumor was found. The patient returned to the operating room 6 weeks later for exploratory laparoscopy; no additional evidence of malignancy was found, and the primary hernia repair was adequate. He underwent a formal transabdominal preperitoneal repair with mesh, and his recuperation was uneventful. An inguinal hernia is termed an Amyand hernia if the hernia sac comprises or contains the appendix. To our knowledge, the presence of an appendiceal carcinoid tumor presenting as a case of incarcerated Amyand hernia has not been reported in the literature. We report the first case of this unusual presentation. Amyand hernia has frequently been reported in younger (Ͼ2 years) and older (Ͼ60 years) individuals. 1,2 A preoperative diagnosis is rare; more often, the diagnosis is made during surgery. 3 Amyand hernia may mimic entirely different disease processes; therefore, a high index of suspicion is warranted. In the literature, the clinical presentations vary greatly: from the most common right-sided hernia, 2,4,5 to a left-sided hernia, 6 an incarcerated inguinal hernia, testicular torsion, 7,8 to the extremes of necrotizing fasciitis and shock. 9,10 The contents of a hernia can be a normal-appearing, an inflamed, or a perforated appendix. Malignancy is extremely rare, with only 2 case reports of adenocarcinoma of the appendix. 11,12 To the best of our knowledge, this is the first case of the presence of an appendiceal carcinoid tumor in an Amyand hernia. Appendiceal carcinoids comprise 1% of

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Sonographic diagnosis of appendicitis within a right inguinal hernia (Amyand's hernia)

Abstract: We report a case of acute appendicitis occurring within a right inguinal hernia-also known as Amyand's hernia-in a 59-year-old man. The correct diagnosis was made via preoperative inguinal sonography and was confirmed via CT, allowing prompt appropriate surgical management.

Cited by 45 publications

References 8 publications

Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Amyand Hernia

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