Amyand’s Hernia: A Case Report

Víctor Javier García Vélez*, Gabriela Zamudio Martínez, Luis Donaldo Herrera Pérez and José Arturo Chejín García

Department of General Surgery, Mexican Social Security Institute, Hospital General Regional nº 46, Mexico

^*Correspondance to: Víctor Javier García Vélez 

 PDF  Full Text DOI: 10.25107/2474-1647.3072

Abstract

Background: Amyand's hernia is a type of inguinal hernia that contains the cecal appendix in its sac; with a reported prevalence of 0.28% to 1% of hernias, its preoperative diagnosis is difficult, although possible through imaging studies such as tomography, which is why it is usually an incidental intraoperative finding. Clinical Case: A 50-year-old male with a previous diagnosis of right inguinal hernia in surgical protocol, who began his complaint 8 days prior to admission characterized by pain in the right inguinal region, accompanied by increased volume and a fluctuating mass at that level. He was admitted for urgent surgical management and right inguinal plasty, showing a perforated cecal appendix as an intraoperative finding, as well as an abscess of approximately 20 ml. Appendectomy was performed by laparotomy and inguinal plasty with Bassini technique without apparent complications. During follow-up an adequate recovery was found. Conclusion: Amyand's hernia is a rare entity, clinically indistinguishable from a complicated inguinofemoral hernia. The use of presurgical tomography serves to establish the diagnosis in some cases; however the accurate diagnosis is only made during surgery. Its treatment consists of appendectomy and inguinal plasty with or without mesh according to the case.

Keywords

Hernia; Appendicitis; Herniorrhaphy

Cite the article

García Vélez VJ, Martínez GZ, Herrera Pérez LD, Chejín García JA. Amyand’s Hernia: A Case Report. Clin Surg. 2021; 6: 3072..