Left sided Amyand Hernia: A very rare case
An inguinal hernia containing appendix is termed an Amyand’s hernia. It is a rare condition estimated to be found in approximately 1 % of all inguinal hernia repairs. Depending on the presence of inflammation in the hernia sac and obstruction of hernia, clinical presentation can vary. We report...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dicle University Medical School
2015-03-01
|
| Series: | Dicle Medical Journal |
| Subjects: | |
| Online Access: | http://www.diclemedj.org/upload/sayi/35/Dicle%20Med%20J-02332.pdf |
| Summary: | An inguinal hernia containing appendix is termed an Amyand’s
hernia. It is a rare condition estimated to be found in
approximately 1 % of all inguinal hernia repairs. Depending
on the presence of inflammation in the hernia sac and
obstruction of hernia, clinical presentation can vary. We
report a case of left sided inguinal hernia in which appendix
vermiformis was detected in a 74 year-old male.
Appendix was not inflammated, so it was reduced and
then mesh hernioplasty was performed. The postoperative
course was uneventful. Performing appendectomy
is controversial in Amyand hernias in which appendix is
not inflammated. Appendectomy is recommended in left
sided Amyand hernias, due to the risc of misdiagnosis if
appendicitis develops in future. We didn’t perform appendectomy
because our patient was elderly and had a low
risk for developing acute appendicitis. Amyand hernias
are usually diagnosed peroperatively. Decision for appendectomy
relies on the inflammation of appendix, the side
of the hernia, the age and the comorbidities of the patient. |
|---|---|
| ISSN: | 1300-2945 1308-9889 |