Left sided Amyand Hernia: A very rare case

• Main Authors: Burak Veli Ülger, Abdullah Oğuz, Eyüp Öner, Enver Ay, Sadullah Girgin
• Format: Article
• Language: English
• Published: Dicle University Medical School 2015-03-01
• Series: Dicle Medical Journal
• Subjects: Amyand hernia; left sided
• Online Access: http://www.diclemedj.org/upload/sayi/35/Dicle%20Med%20J-02332.pdf

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.