Complicated Left-Sided Amyand’s Hernia in an 18-Month-Old Boy: A Case Report and Literature Review (original) (raw)
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Left-Sided Amyand Hernia: Report of Two Cases with Review of Literature
European Journal of Pediatric Surgery Reports, 2013
The presence of the vermiform appendix in an inguinal hernial sac is called "Amyand" Hernia, which is a rare condition especially in children. The authors are reporting two cases of left-sided Amyand hernia in infants presented with symptoms and signs of obstructed inguinal hernia. Emergency appendectomy and herniotomy were performed. The patients were followed up for 4 to 6 months without complications. The case histories are presented, and the conditions discussed with review of the literature.
Amyand’s hernia: a series of 30 cases in children
Hernia, 2009
Amyand's hernia is a very rare condition with a presence of a vermiform appendix in an inguinal hernia sac. It is estimated to be found in approximately 1% of adult inguinal hernia. In this study, we report a retrospective analysis of 30 patients aged between 19 days and 8 years with an Amyand's hernia operated in our institution from 1998 to 2009, and we reviewed the literature on the topic. Hernia repair without an appendectomy was performed in patients with normal appendix. Emergency appendectomy through herniotomy was performed in cases of inXamed and perforated appendices.
Amyand's Hernia with Perforated Appendix in a Neonate
PubMed, 2014
When vermiform appendix is found in the inguinal hernial sac, the condition is called Amyand's hernia (AH). Appendix in hernial sac can be normal, inflamed or perforated. It can present as complicated hernia or acute scrotum. We present a case of Amyand's hernia in a 25-day-old male who presented with an obstructed hernia having perforated appendix in the hernial sac.
World Journal of Gastrointestinal Surgery, 2013
The presence of the appendix in an inguinal hernia sac has been referred to as Amyand's hernia. Vermiform appendix located in an external hernia sac is not an uncommon condition, and the incidence of these cases is approximately 1%. In Amyand's hernias, appendices are frequently found in the hernia sac; but an incarceration particularly on the left side is a very unusual sight. In this report we present 32-year-old male with Amyand's hernia on the left side.
Amyand's hernia-a vermiform appendix presenting in an inguinal hernia: a case series
Journal of Medical Case Reports, 2011
Introduction: A vermiform appendix in an inguinal hernia, inflamed or not, is known as Amyand's hernia. Here we present a case series of four men with Amyand's hernia. Case presentations: We retrospectively studied 963 Caucasian patients with inguinal hernia who were admitted to our surgical department over a 12-year period. Four patients presented with Amyand's hernia (0.4%). A 32-year-old Caucasian man had an inflamed vermiform appendix in his hernial sac (acute appendicitis), presenting as an incarcerated right groin hernia, and underwent simultaneous appendectomy and Bassini suture hernia repair. Two patients, Caucasian men aged 36 and 43 years old, had normal appendices in their sacs, which clinically appeared as non-incarcerated right groin hernias. Both underwent a plug-mesh hernia repair without appendectomy. The fourth patient, a 25-year-old Caucasian man with a large but not inflamed appendix in his sac, had a plug-mesh hernia repair with appendectomy.
Appendix within Amyand's hernia in a six-years-old boy: case report and review of literature
Introduction: Presence of vermiform appendix (non-inflamed or inflamed) in inguinal hernia is called Amyand's hernia in honor to surgeon C. Amyand who published the first case of perforated appendicitis within inguinal hernia in a boy caused by ingested pin. This presentation of foreign body Amyand's hernia appendicitis is very rare, and here we present such a case.
Amyand’s hernias in childhood (a report on 21 patients): a single-centre experience
Pediatric Surgery International, 2013
Purpose Amyand's hernia is a very rare type of hernia and is characterised by the presence of a vermiform appendix in the inguinal hernia sac. It may present as a tender inguinal or inguinoscrotal swelling, and is usually misdiagnosed as an irreducible or strangulated inguinal hernia. This is a presentation of our experiences with these unusual hernias. Methods This study conducted a retrospective analysis of 21 patients with Amyand's hernias operated on at our institution between April 2007 and February 2011. The age and sex distributions of the patients, the types of hernias, and preoperative diagnostic tests were evaluated. Results Twenty patients were male (95.3 %) and one was female (4.7 %). The median age was 20.3 months (ranging from 2 months to 10 years). In nine patients, the conditions were diagnosed using ultrasonographic (USG) imaging preoperatively. Nine of the 21 patients underwent emergency operations. The 12 remaining patients were operated on after preparations were completed. The operative findings included 12 normal appendixes, five inflamed appendixes, one perforated appendix, and three hernias whose inner hernia sac surface was adhered to the appendix. Nine patients underwent inguinal hernia repair with appendectomy, and 12 patients had hernia repair without an appendectomy. Recurring hernias and appendicitis were not detected in any patients within the follow-up time.
Our Experience of Amyand's Hernia Over A Period Of Five & Half Years
Introduction: In our prospective study we tried to find out contents of congenital right sided inguinal hernia, where most of cases of our study we found omentum, small intestines, but only in two cases we found where only Appendix was the content of sac(Amyand's Hernia).Most of the cases were diagnosed intra operatively, decisions of management was based on condition of appendix, in inflamed appendix always appendicectomy along with herniotomy, but in noninflamed appendix management depends on age. of 230 cases of right sided inguinal hernia diagnosed clinically as well as by Sonological scan, ages between 3 months to 8 years, 198 were male & 32 were female. Open herniotomy performed in 180 cases and laparoscopic herniotomy performed in 50 cases. Among 230 cases 17 presented with irreducible hernia, one strangulated hernia and 212 were reducible hernia. Results: In our study out of 230 cases only 2 cases of Amyand's hernia were found, both the cases were male. One of them presented with a feature of strangulated hernia and other as reducible congenital inguinal hernia.In our study we did Ultrasonography for all the cases, but in Amyand's hernia did not able to diagnose pre operatively ,only diagnosed it per operatively. Although in both the cases we did appendectomy along with herniotomy, post operatively two cases were recovered well. Histopathology of appendix in elder child had features of acute appendicitis & second one found with follicular hyperplasia but no features of inflammation. Incidence of Amyand's hernia in our study was 0.87%, both the cases were male , one presented as strangulated hernia, although there was no strangulation , rather acute appendicitis within the hernial sac, in other case appendix was only incidental finding. Conclusion: Incidence of Amyand's hernia is very rare (about 1% of all inguinal hernia, only 0.1% with appendicitis (although in our study it was 0.4%), all were male child.
Amyand's hernia: a case report
World journal of gastroenterology : WJG, 2006
The presence of vermiform appendix in inguinal hernia is rare and is known as Amyand's hernia. We report an Amyand's hernia, where the appendix was found in a right inguinal hernia in one male cadaver aged ninety two years.
Left Sided Amyand’s Hernia with Sliding Component
Journal of Nepal Medical Association, 2013
The eponym ‘Amyand hernia’ coined in recognition of Claudius Amyand, the first surgeon to successfully perform appendectomy in a hernia sac containing appendix, refers to the vermiform appendix within inguinal hernia. Here, we present a rare case, of Amyand’s hernia in an 18 month-old boy who was brought with an inguino-scortal swelling which later on exploration was left sided Amyand’s hernia with sliding component. Amyand’s hernia is not very often seen in the clinical practice and its pre-operative diagnosis is very difficult hence awareness of this disease condition is essential for preoperative suspicion and even diagnosis of the condition. Keywords: Amyand’s hernia; acute appendicitis; hernial repair.