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Amyand's hernia complicated with appendicitis: an interval approach with transabdominal laparoscopic appendectomy and
Akshat T Parekh1, Keith Diamond2, Monty Littlejohn3
1Rutgers Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA.
Abstract:
Amyand's hernia is a rare classification of inguinal hernia where the vermiform appendix is located within the hernial sac. This case report discusses a patient presenting with abdominal and groin pain shown to be an Amyand's hernia complicated by acute appendicitis on computed tomography. The patient was treated with a two-stage approach, involving transabdominal laparoscopic appendectomy and elective laparoscopic hernioplasty after recovery. As some controversy exists regarding the timing of appendectomy and hernioplasty, we examine the benefits of the interval approach in the reduction of postoperative infection risk compared with a concurrent approach in patients presenting with Amyand's hernia complicated by appendiceal inflammation.
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