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Amyand's hernia-a vermiform appendix presenting in an inguinal hernia: a case series

Kyriakos Psarras1, Miltiadis Lalountas, Minas Baltatzis

  • 12nd Propedeutical Department of Surgery, Hippokration Hospital, Medical School of Aristotle, University of Thessaloniki, Greece. miltiadislalountas@yahoo.gr.

Journal of Medical Case Reports
|September 21, 2011
PubMed
Abstract

Insights

Amyand's hernia, where the appendix is in the inguinal canal, is rare (0.4%). Surgeons must be prepared for unexpected findings like inflamed or normal appendices during hernia repair.

Area of Science:

  • Surgical Case Series
  • Hernia Surgery
  • Gastrointestinal Surgery

Background:

  • Amyand's hernia is defined as the presence of a vermiform appendix within an inguinal hernia, regardless of inflammation.
  • This condition is infrequently encountered in surgical practice.

Purpose of the Study:

  • To present a case series of four male patients diagnosed with Amyand's hernia.
  • To highlight the varied clinical presentations and management strategies for this rare condition.

Main Methods:

  • Retrospective analysis of 963 inguinal hernia patients over 12 years.
  • Identification and detailed review of four cases of Amyand's hernia.
  • Surgical interventions included appendectomy with hernia repair (Bassini or plug-mesh) and plug-mesh repair without appendectomy.

Main Results:

  • Amyand's hernia occurred in 0.4% of the studied inguinal hernia cohort.
  • Case 1: 32-year-old male with acute appendicitis in an incarcerated hernia underwent appendectomy and Bassini repair.
  • Cases 2 & 3: 36 & 43-year-old males with normal appendices in non-incarcerated hernias underwent plug-mesh repair without appendectomy.
  • Case 4: 25-year-old male with a large, non-inflamed appendix underwent plug-mesh repair with appendectomy.

Conclusions:

  • Amyand's hernia presents surgeons with unexpected intraoperative findings.
  • Appropriate surgical preparedness and tailored treatment are crucial for managing Amyand's hernia effectively.

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