DOI: http://dx.doi.org/10.18203/2349-2902.isj20203269

Incarcerated Amyand hernia: a rare entity

Vijeth Rai, Ranadheer Raju Cholaraju Siva, Gagan Deep

Abstract


Right sided inguinal hernia containing vermiform appendix in its sac is called as amyand’s hernia. It accounts for ∼1% of all inguinal hernias. It is an intra operative finding during an inguinal hernia repair. A 64 years old male patient came with complains of swelling in the right inguinal region, associated with pain and vomiting. On examination of the right inguinal region there was a tender irreducible swelling palpable. Based on the characteristic finding it was diagnosed clinically as right sided irreducible obstructed inguinal hernia. Ultrasound abdomen was done which was suggestive of right inguinal hernia with herniation of bowel and omentum with features of strangulated/ obstructed hernia. Patient was taken up for right inguinal hernia repair and appendix was noted in the hernial sac intra-operatively. Although occurrence of amyand’s hernia is rare. The attendant surgeon should be vigilant about the presence of it. Preoperative diagnosis of amyand’s hernia is not common because in majority of cases objective of imaging is to exclude conditions that predispose to inguinal hernia formation. The Losanoff and Basson’s criterion is used as a guide for deciding whether to perform appendectomy and type of repair, depend on the clinical scenario.


Keywords


Inguinal hernia, Strangulated hernia, Amyand’s hernia, Appendix

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References


Amyand C. Of an Inguinal Rupture, with a Pin in the Appendix Coeci, Incrusted with Stone; And Some Observations on Wounds in the Guts; By Claudius Amyand, Esq; Serjeant Surgeon to His Majesty, and FRS. Philos Trans R Soc London. 1735;39(436-444):329-42.

Burgess PL, Brockmeyer JR, Johnson EK. Amyand hernia repaired with Bio-A: a case report and review. J Sur Educ. 2011;68:62-6.

Sorenson EP, Tubbs SR. Amyand’s hernia: a review. 2014:140-6.

Michalinos A, Moris D, Vernadakis S. Amyand’s hernia: a review. Am J Surg. 2014;207:989-95.

Losanoff JE, Basson MD. Amyand hernia: a classification to improve management. Hernia. 2008;12:325-6.

Losanoff JE, Basson MD. Amyand hernia: what lies beneath: a proposed classification scheme to determine management. Am Surg. 2007;73:1288-90.

Burkhardt JH, Arshanskiy Y, Munson JL. Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. Radiographics. 2011;31:1-12.