Amyand's hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated...Amyand's hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative diagnosis difficult. In this study, we present two cases of Amyand's hernia that were diagnosed preoperatively. The patients were taken for operation with the prediagnosis of ?ncarcerated inguinal hernia. We evaluated these cases along with data from prior studies.展开更多
The presence of the appendix in an inguinal hernia sac has been referred to as Amyand’s hernia.Vermiform appendix located in an external hernia sac is not an uncommon condition,and the incidence of these cases is app...The presence of the appendix in an inguinal hernia sac has been referred to as Amyand’s hernia.Vermiform appendix located in an external hernia sac is not an uncommon condition,and the incidence of these cases is approximately 1%.In Amyand’s hernias,appendices are frequently found in the hernia sac;but an incarceration particularly on the left side is a very unusual sight.In this report we present 32-year-old male with Amyand’s hernia on the left side.展开更多
Background-Unusual contents of hernia sac are uncommon, but are likely to be encountered by a surgeon in his career due to the frequency of hernia repair. The aim of this study, is to present our experience of unusual...Background-Unusual contents of hernia sac are uncommon, but are likely to be encountered by a surgeon in his career due to the frequency of hernia repair. The aim of this study, is to present our experience of unusual contents in inguinal hernia sac, discuss its management and review the relevant literature with regards to others experience. Patients and methods-Retrospective study of 662 patients who underwent inguinal hernia repair over an 8 year period from 2000 to 2008 was carried out. Results-Seven patients presented with unusual contents in inguinal hernia sac;an incidence of 1.05%. Three of them had vermiform appendix, with acute appendicitis (Amyand’s Hernia) noted in one of them. All patients underwent appendicectomy with repair of hernia, with mesh being employed only in patients with normal appendix. In 2 cases urinary bladder had herniated and there was one case each of ovarian cyst and fallopian tube with ovary as its content. In all these patients hernia repair was carried out after carefully reducing the contents. Conclusion-Unusual contents of hernia may pose a surgical dilemma during hernia repair even to an experienced surgeon. Although rare, a hernia may contain vermiform appendix and exceptionally it may be acutely inflamed. Tubal and ovarian herniation in an inguinal hernia may be found in adult and perimenopausal women, though the incidence is reported to be more common in children. Urinary bladder herniation occurs with similar incidence as tubo ovarian hernia;however it requires special attention because of the risk of iatrogenic bladder injury during inguinal dissection. Though appendix as a content is dealt with by appendicectomy followed by hernioplasty, every effort should be made to preserve other organs found in the hernia sac to achieve an uneventful postoperative period.展开更多
We present a case of a 57 years old moderately obese woman with a known 12 cmincisional hernia, who subsequently developed an incarcerated acute appendicitis. The patient underwent an uneventful orthotopic liver and r...We present a case of a 57 years old moderately obese woman with a known 12 cmincisional hernia, who subsequently developed an incarcerated acute appendicitis. The patient underwent an uneventful orthotopic liver and renal transplant five years prior, and was compliant with ongoing immunosuppression without rejection. She presented with 8 hours of acute onset right lower quadrant pain, associated with anorexia, documented fevers, and nausea. Noncontrast CT demonstrated a blind-ending tubular structure with an enhancing and thickened wall within a hernia defect of the right lower quadrant. The patient underwent emergent laparotomy and a non-perforated appendix was completely excised at its base. Discussion: There have been documented reports of an acute appendicitis associated with inguinal hernias, given the eponym Amyand’s hernia. Appendicitis may present within hernias, and there should be a low threshold for radiologic assessment of its components when there is clinical doubt about the symptoms associated with the hernia. Our recommendation prompts early use of non-contrast CT scan in transplant patients with known hernias on examination and abdominal tenderness over the renal allograft considering the high risk of perforation of acute appendicitis and strangulation.展开更多
A three-month-old boy was admitted by red, firm, painful swelling in the right groin and vomiting. Surgical repair with appendectomy was performed. We want to emphasize that if the patient has an irreducible strangula...A three-month-old boy was admitted by red, firm, painful swelling in the right groin and vomiting. Surgical repair with appendectomy was performed. We want to emphasize that if the patient has an irreducible strangulated inguinal hernia, appendix or bowel necrosis can be found in the hernia sac.展开更多
Amyand＇s hernia refers to the presence of appendix within an inguinal hernia sac.In 1736,Claudius Amyand,a surgeon to King George Ⅱ,first reported this special type of inguinal hernia during a transherniotomy append...Amyand＇s hernia refers to the presence of appendix within an inguinal hernia sac.In 1736,Claudius Amyand,a surgeon to King George Ⅱ,first reported this special type of inguinal hernia during a transherniotomy appendectomy of an 11-year-old boy with a right inguinal hernia.The finding of a normal appendix within an inguinal hernia sac is not uncommon.Its incidence is about 1%,whereas the presence of appendicitis within an inguinal hernia has an incidence of only 0.1%.1 Moreover,given the normal anatomical position of the appendix,most cases occur on the right side.展开更多
The presence of vermiform appendix in inguinal hernia is rare and is known as Amyand＇s hernia. We report an Amyand＇s hernia, where the appendix was found in a right inguinal hernia in one male cadaver aged ninety tw...The presence of vermiform appendix in inguinal hernia is rare and is known as Amyand＇s hernia. We report an Amyand＇s hernia, where the appendix was found in a right inguinal hernia in one male cadaver aged ninety two years.展开更多
Background:Amyand's hernia with acute appendicitis is rare in infants and is mostly delayed in diagnosis and treatment,resulting in a high morbidity.Methods:We presented two cases of infantile Amyand's hernia ...Background:Amyand's hernia with acute appendicitis is rare in infants and is mostly delayed in diagnosis and treatment,resulting in a high morbidity.Methods:We presented two cases of infantile Amyand's hernia with acute appendicitis.Results:Early surgical interventions were performed and both patients recovered without complication.Conclusion:A practical strategy for this entity is to be aware of the rare disease and to perform early surgical exploration for suspected cases.展开更多
文摘Amyand's hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative diagnosis difficult. In this study, we present two cases of Amyand's hernia that were diagnosed preoperatively. The patients were taken for operation with the prediagnosis of ?ncarcerated inguinal hernia. We evaluated these cases along with data from prior studies.
文摘The presence of the appendix in an inguinal hernia sac has been referred to as Amyand’s hernia.Vermiform appendix located in an external hernia sac is not an uncommon condition,and the incidence of these cases is approximately 1%.In Amyand’s hernias,appendices are frequently found in the hernia sac;but an incarceration particularly on the left side is a very unusual sight.In this report we present 32-year-old male with Amyand’s hernia on the left side.
文摘Background-Unusual contents of hernia sac are uncommon, but are likely to be encountered by a surgeon in his career due to the frequency of hernia repair. The aim of this study, is to present our experience of unusual contents in inguinal hernia sac, discuss its management and review the relevant literature with regards to others experience. Patients and methods-Retrospective study of 662 patients who underwent inguinal hernia repair over an 8 year period from 2000 to 2008 was carried out. Results-Seven patients presented with unusual contents in inguinal hernia sac;an incidence of 1.05%. Three of them had vermiform appendix, with acute appendicitis (Amyand’s Hernia) noted in one of them. All patients underwent appendicectomy with repair of hernia, with mesh being employed only in patients with normal appendix. In 2 cases urinary bladder had herniated and there was one case each of ovarian cyst and fallopian tube with ovary as its content. In all these patients hernia repair was carried out after carefully reducing the contents. Conclusion-Unusual contents of hernia may pose a surgical dilemma during hernia repair even to an experienced surgeon. Although rare, a hernia may contain vermiform appendix and exceptionally it may be acutely inflamed. Tubal and ovarian herniation in an inguinal hernia may be found in adult and perimenopausal women, though the incidence is reported to be more common in children. Urinary bladder herniation occurs with similar incidence as tubo ovarian hernia;however it requires special attention because of the risk of iatrogenic bladder injury during inguinal dissection. Though appendix as a content is dealt with by appendicectomy followed by hernioplasty, every effort should be made to preserve other organs found in the hernia sac to achieve an uneventful postoperative period.
文摘We present a case of a 57 years old moderately obese woman with a known 12 cmincisional hernia, who subsequently developed an incarcerated acute appendicitis. The patient underwent an uneventful orthotopic liver and renal transplant five years prior, and was compliant with ongoing immunosuppression without rejection. She presented with 8 hours of acute onset right lower quadrant pain, associated with anorexia, documented fevers, and nausea. Noncontrast CT demonstrated a blind-ending tubular structure with an enhancing and thickened wall within a hernia defect of the right lower quadrant. The patient underwent emergent laparotomy and a non-perforated appendix was completely excised at its base. Discussion: There have been documented reports of an acute appendicitis associated with inguinal hernias, given the eponym Amyand’s hernia. Appendicitis may present within hernias, and there should be a low threshold for radiologic assessment of its components when there is clinical doubt about the symptoms associated with the hernia. Our recommendation prompts early use of non-contrast CT scan in transplant patients with known hernias on examination and abdominal tenderness over the renal allograft considering the high risk of perforation of acute appendicitis and strangulation.
文摘A three-month-old boy was admitted by red, firm, painful swelling in the right groin and vomiting. Surgical repair with appendectomy was performed. We want to emphasize that if the patient has an irreducible strangulated inguinal hernia, appendix or bowel necrosis can be found in the hernia sac.
文摘Amyand＇s hernia refers to the presence of appendix within an inguinal hernia sac.In 1736,Claudius Amyand,a surgeon to King George Ⅱ,first reported this special type of inguinal hernia during a transherniotomy appendectomy of an 11-year-old boy with a right inguinal hernia.The finding of a normal appendix within an inguinal hernia sac is not uncommon.Its incidence is about 1%,whereas the presence of appendicitis within an inguinal hernia has an incidence of only 0.1%.1 Moreover,given the normal anatomical position of the appendix,most cases occur on the right side.
文摘The presence of vermiform appendix in inguinal hernia is rare and is known as Amyand＇s hernia. We report an Amyand＇s hernia, where the appendix was found in a right inguinal hernia in one male cadaver aged ninety two years.
文摘Background:Amyand's hernia with acute appendicitis is rare in infants and is mostly delayed in diagnosis and treatment,resulting in a high morbidity.Methods:We presented two cases of infantile Amyand's hernia with acute appendicitis.Results:Early surgical interventions were performed and both patients recovered without complication.Conclusion:A practical strategy for this entity is to be aware of the rare disease and to perform early surgical exploration for suspected cases.
