Cover Image

A RARE CASE OF AMYANDS HERNIA

VENKATESH U ULAGANATHAN

Abstract


The presence of an appendix within a hernia sac is known as Amyands hernia. Its incidence is extremely rare 1 of all hernias. The presence of appendicitis among those is even rare and is estimated between 0.07 and 0.13(1). It is often difficult to diagnose it pre operatively it poses even more   confusion intra operatively whether or not to perform             appendectomy and the type of hernia repair. Case study We had a case of right sided obstructed inguinal hernia for past 2 days with complaints of pain, fever vomiting. We operated it as a case of right sided obstructed inguinal hernia going in for strangulation. To our surprise the hernia content was 8 cm long, turgid inflamed appendix. We did an appendectomy and modified bassinis hernia repair. Patient did well post              operatively and discharged on 8th POD. Pathology confirmed it as an acute appendicitis.

 


Full Text:

PDF

References


Appropriate references are included with in brackets in the text.

Sharma H, Gupta A, Shekhawat NS, et al.

– Amyand’s hernia: a report of 18 consecutive patients over a 15-year period. Hernia 2007;11:31-35.

Komorowski AL, Rodriguez JM

– Amyand’s hernia. Historical perspective and current considerations. Acta Chir Belg 2009;109:563.

Singal R, Mittal A, Gupta A, et al.

– An incarcerated appendix: report of three cases and a review of the literature. Hernia. 2010;14:26.

Abu-Dalu J, Urca I

– Incarcerated inguinal hernia with a perforated appendix and periappendicular abscess. Dis Colon Rectum 1972; 15:464-65

G. Akopian and M. Alexander,

- “De Garengeot hernia: appendicitis within a femoral hernia,” American Surgeon, vol. 71, no. 6, pp. 526–527, 2005.

R. Zissin, O. Brautbar, and M. Shapiro-Feinberg,

-“CT diagnosis of acute appendicitis in a femoral hernia,” British Journal of Radiology, vol. 73, no. 873, pp. 1013–1014, 2000.

E. T. Nguyen and I. K. Komenaka,

- “Strangulated femoral hernia containing a perforated appendix,” Canadian Journal of Surgery, vol. 47, no. 1, pp. 68–69, 2004.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University