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Updated: May 15, 2026
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Incarcerated recurrent Amyand's hernia
Benjamin Quartey1, Obinna Ugochukwu, Reed Kuehn
1Department of General Surgery, National Naval Medical Center, Bethesda, MD, USA.
Journal of Emergencies, Trauma, and Shock
|December 19, 2012
Summary
This case report details the first instance of recurrent Amyand's hernia, where an inflamed appendix was found within an inguinal hernia in a patient who had previously undergone hernia repair.
Area of Science:
- Surgical Case Reports
- Gastrointestinal Surgery
- Abdominal Wall Reconstruction
Background:
- Amyand's hernia, the presence of the vermiform appendix within an inguinal hernia, is a rare surgical condition.
- Recurrence of inguinal hernias, particularly those involving the appendix, is exceptionally uncommon.
Observation:
- A 71-year-old male presented with a painful, nonreducible right inguinal hernia.
- Computed tomography revealed an inflamed 1.3-cm appendix within the hernia sac.
- Surgical exploration confirmed an incarcerated, injected, non-perforated appendix within an indirect inguinal hernia.
Findings:
- The patient underwent an emergency appendectomy via the groin incision.
- The indirect hernia defect was successfully repaired using a biological mesh (Flex-HD).
- This represents the first documented case of recurrent Amyand's hernia.
Implications:
- Highlights the importance of considering Amyand's hernia in recurrent inguinal hernias, even after prior repair.
- Demonstrates the feasibility of combined appendectomy and hernia repair through a single groin incision.
- Contributes to the literature on the management of this rare anatomical curiosity.
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