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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Amyand's Hernia: A Serendipitous Diagnosis.

S Mewa Kinoo¹, M R Aboobakar, B Singh

¹Department of Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, 719 Umbilo Road, Congella 4013, Durban, South Africa.

Case Reports in Surgery

|May 22, 2013

Summary

Amyand's hernia, the appendix within an inguinal hernia, is rare, especially on the left side. This report details the 15th left-sided case, diagnosed preoperatively, alongside a right-sided case found during surgery.

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Published on: November 8, 2024

Area of Science:

Abdominal surgery
Gastroenterology
Surgical case reports

Background:

Amyand's hernia is defined as the presence of the vermiform appendix within an inguinal hernia sac.
It is an uncommon condition, occurring in less than 1% of right-sided inguinal hernias.
Left-sided Amyand's hernias are exceedingly rare, with only 14 previous reports.

Purpose of the Study:

To report the 15th case of a left-sided Amyand's hernia.
To highlight the preoperative diagnosis of a left-sided Amyand's hernia using contrast enema.
To contrast this with a right-sided Amyand's hernia diagnosed intraoperatively.

Main Methods:

Case report of a left-sided Amyand's hernia.
Review of literature for reported cases of Amyand's hernia.
Preoperative diagnosis utilizing contrast enema study.
Intraoperative diagnosis of a right-sided Amyand's hernia.

Main Results:

The 15th case of left-sided Amyand's hernia successfully diagnosed preoperatively.
A concurrent right-sided Amyand's hernia was identified serendipitously during surgery.
This study contributes to the limited data on left-sided Amyand's hernias.

Conclusions:

Preoperative diagnosis of left-sided Amyand's hernia is possible with advanced imaging like contrast enema.
Amyand's hernia, particularly on the left, remains a rare surgical finding.
Increased awareness and diagnostic vigilance are crucial for this uncommon condition.