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A case report of appendicitis within an Amyand's hernia: A surprising finding in diagnostic laparoscopy
Majid Samsami1, Shahram Sayadi2, Shohra Qaderi3
1Department of Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran 1617763141, Iran.
Introduction:
Amyand hernia is a rare type of hernia in which the appendix is located inside the hernia sac.Its diagnosis is very difficult in the Pre-operative period and it is usually presented as an intraoperative finding.
Presentation Of Case:
A 21-year-old male who presented to our emergency department with peri-umbilical pain associated with nausea and vomiting. On examination he had a tenderness in the inguinal canal. He underwent diagnostic laparoscopy. Operative finding was amyand hernia with inflamed appendix in hernia sac. Laparoscopic appendectomy and tissue repair was performed for him.
Discussion:
There are several preoperative diagnostic modalities for amyand hernia including abdominal CT scan and ultrasound. Diagnostic laparoscopy can be used as one of the diagnostic modalities for this type of hernia. Amyand hernia treatment includes appendectomy and inguinal hernia repair, which can vary depending on the severity of inflammation of the inguinal area.
Conclusion:
based on our study another diagnostic modality in case of clinical suspicion of amyand hernia is diagnostic laparoscopy which is useful approach in all forms of incarcerated hernias to assess contents and avoid unnecessary laparotomy.
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