Amyand’s Hernia: A Single Centre Experience

Journal of Case Reports

article

F Ftaieh¹  O Shams¹  MA Gok¹  MM Sadat¹  UA Khan¹ 

[1] East Cheshire NHS Trust, Macclesfield District General Hospital

关键词: Appendicitis;    Appendix;    Inguinal Hernia;    Laparoscopy;    Surgical Mesh;    Urinary Bladder.;   

DOI  :  10.17659/01.2021.0011

学科分类：生理学

来源: Journal of Case Reports

【 摘 要 】

Background: Amyand’s hernia is an inguinal hernia which may contain caecum, bladder, ovary, fallopian tube, omentum, Meckel’s diverticulum or vermiform appendix incarcerated within the hernia sac. Normal appendix lodged within an Amyand’s hernia occurs in 1%, whereas appendicitis within the hernia sac occurs in 0.1%. Its presentation can be quite variable and pre-operative diagnosis is difficult. Case Report: This is a case study of two Amyand’s hernias, initial presentation and subsequent emergency management. Both patients presented with appendicitis and a tender right inguinal hernia. Laparoscopic appendicectomy was carried out on the initial admission, and laparoscopic mesh repair of Amyand’s hernia was deferred. Conclusion: Pre-operative clinical diagnosis is difficult but aided by ultrasound or computerised tomography scan. The presence of appendicitis requires appendicectomy. Repair of Amyand’s hernia should be deferred, where laparoscopic mesh repair can be offered without the risk of mesh infection.

【 授权许可】

Unknown