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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Related Experiment Video

Updated: Jun 5, 2025

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Amyand's hernia and associated acute appendicitis: A case report.

Somadina Ikpeze1, Ikenna Chimuanya Ohiaeri1, Oleksandar Bondar1

  • 1Department of General Surgery, Seychelles Hospital, Seychelles.

International Journal of Surgery Case Reports
|December 5, 2024
PubMed
Summary

Amyand's hernia, a rare condition involving the appendix within an inguinal hernia, can occur with acute appendicitis. This case demonstrates successful mesh repair after appendectomy in a patient with a movement disorder, despite contraindications.

Keywords:
Acute appendicitisAmyand's herniaCase reportLosanoff classificationMesh repair

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Area of Science:

  • Inguinal hernia surgery
  • Gastrointestinal surgery
  • Surgical case reports

Background:

  • Amyand's hernia is the incarceration of the vermiform appendix within an inguinal hernia.
  • Acute appendicitis complicating Amyand's hernia is a rare occurrence.
  • Approximately 1% of inguinal hernias contain the appendix.

Observation:

  • A middle-aged male with a history of a movement disorder presented with a reducible right inguinal scrotal swelling.
  • Ultrasound revealed a right inguinoscrotal hernia with bowel contents; plain abdominal X-ray showed no obstruction.
  • Intraoperative findings included an inflamed appendix within the hernia sac, necessitating appendectomy followed by mesh hernioplasty.

Findings:

  • Histology confirmed focal acute transmural inflammation of the appendix.
  • Despite mesh repair generally being contraindicated in appendicitis, the patient experienced no post-operative complications up to 7 months.
  • The patient's history of a movement disorder and concern for hernia recurrence influenced the decision for mesh repair.

Implications:

  • This case suggests that mesh repair may be a viable option in select Amyand's hernia cases with appendicitis, particularly when recurrence is a concern.
  • Careful patient selection and surgical technique are crucial when considering mesh in contaminated fields.
  • Further research is warranted to establish guidelines for mesh use in complicated Amyand's hernia cases.