Amyand’s Hernia – an Avoidable Patient Presentation

Niroshini Rajaretnam and Anjum Arain

Department of Surgery, Derriford Hospital, UK
Department of Surgery, North Devon District Hospital, UK

^*Correspondance to: Niroshini Rajaretnam 

 PDF  Full Text DOI: 10.25107/2474-1647.2043

Abstract

entrapped within the hernial sac; its incidence is less than 1%. We report an elderly gentleman who presented with an irreducible recurrent right-sided inguinal hernia. On surgical exploration we found the non-inflamed appendix, caecum and wall of the urinary bladder as the contents of the inguinal canal, with an atrophic right testicle disconnected from the spermatic cord. The aetiology of Amyand’s hernia is often questioned in literature and there is no standard protocol for the management of Amyand’s hernia. We discuss a variety of strategies to consider if such a rare presentation is encountered as well as a possible aetiology. Amyand’s hernia is usually a diagnosis of first presentation, and so this patient presentation should have been avoided given his previous repairs, highlighting the importance of a good initial repair and proper definition of anatomy.

Keywords

Cite the article

Rajaretnam N, Arain A. Amyand’s Hernia – an Avoidable Patient Presentation. Clin Surg. 2018; 3: 2043.