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Incarcerated Amyand hernia: Previous warning signs on sonogram. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2022. [DOI: 10.1016/j.epsc.2022.102444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Nowrouzi R, Gupta R, Kuy S. Left-Sided Amyand Hernia: Case Report and Review of the Literature. Fed Pract 2021; 38:286-290. [PMID: 34733077 DOI: 10.12788/fp.0136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Left-sided Amyand hernia is a rare condition that requires a high degree of clinical suspicion to correctly diagnose.
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Affiliation(s)
- Ryan Nowrouzi
- and are Medical Students at Baylor College of Medicine in Houston, Texas. is Deputy Chief Medical Officer for Quality and Safety for US Department of Veterans Affairs Veterans Integrated Service Network 16 in Houston
| | - Rohit Gupta
- and are Medical Students at Baylor College of Medicine in Houston, Texas. is Deputy Chief Medical Officer for Quality and Safety for US Department of Veterans Affairs Veterans Integrated Service Network 16 in Houston
| | - SreyRam Kuy
- and are Medical Students at Baylor College of Medicine in Houston, Texas. is Deputy Chief Medical Officer for Quality and Safety for US Department of Veterans Affairs Veterans Integrated Service Network 16 in Houston
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3
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Rudiman R, Winata AA. Giant Left-Sided Amyand's Hernia: A Challenging Procedure in a Rural Hospital. Case Rep Gastroenterol 2018; 12:646-652. [PMID: 30519150 PMCID: PMC6276735 DOI: 10.1159/000493182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 08/23/2018] [Indexed: 11/19/2022] Open
Abstract
The finding of a vermiform appendix in the case of an inguinal hernia that extends below the midpoint of the inner thigh when the patient is in a standing position is defined as giant left-sided Amyand's hernia. It is a very rare case and significantly challenging in terms of preoperative diagnosis and surgical management. Here we present our experience with a case of a giant left-sided Amyand's hernia that was followed up for 2 months.
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Affiliation(s)
- Reno Rudiman
- Digestive Surgery Department, Padjadjaran University, Hasan Sadikin Hospital, Bandung, Indonesia
| | - Andika A Winata
- Surgery Department, Bengkayang District General Hospital, Bengkayang, Indonesia
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Katsogridakis E, Pokusevski G, Byrne P. Acute appendicitis presenting as a complicated inguinal hernia: a case of left-sided Amyand's hernia in an elderly man. J Surg Case Rep 2017; 2017:rjx224. [PMID: 29230284 PMCID: PMC5692993 DOI: 10.1093/jscr/rjx224] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 10/26/2017] [Indexed: 11/12/2022] Open
Abstract
Amyand's hernia (AH) is characterized by the presence of the vermiform appendix in an inguinal hernia sac. Typically presenting on the right side and with manifestations similar to those seen in complicated hernias, it presents a diagnostic challenge and is frequently only diagnosed intraoperatively. We present the case of a left-sided AH on a 75-year-old man treated with appendicectomy, orchidectomy and hernioplasty without mesh.
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Affiliation(s)
- Emmanuel Katsogridakis
- Department of Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Oldham, UK.,Academic Surgery Unit, Education and Research Centre, University Hospital of South Manchester, Manchester, UK
| | - Goran Pokusevski
- Department of Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Oldham, UK
| | - Peter Byrne
- Department of Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Oldham, UK
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Bekele K, Markos D. Left-sided incarcerated Amyand's hernia with cecum and terminal ileum: a case report. Int Med Case Rep J 2017; 10:349-352. [PMID: 29089787 PMCID: PMC5655135 DOI: 10.2147/imcrj.s147177] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2022] Open
Abstract
BACKGROUND Amyand's hernia, which is the presence of a normal or pathological appendix as a part of an inguinal hernia, is a rare clinical entity. We are reporting a very rare case of left-sided incarcerated Amyand's hernia with cecum and terminal ileum involvement. CASE PRESENTATION A 4-year-old male child with left inguinal swelling of 2-year duration presented to Goba Referral Hospital. Two days before the patient visited our hospital, the swelling had become irreducible and caused severe groin pain. He had abdominal cramps, bilious vomiting, and mild abdominal distention, but passed feces. With the diagnosis of left-sided incarcerated inguinal hernia, the patient was investigated and prepared for surgical management. During the operative procedure, we identified the presence of appendix, cecum, and terminal ileum in the scrotum as the herniated component. After the sack was dissected, since there was also appendicitis, an appendectomy was performed. Then, high ligation of sack was done after cecum and ileum were reduced. After 3 uneventful postoperative days in the hospital, the patient was discharged. The patient was followed-up for 6 months, and he did not develop any complications. CONCLUSION Left-sided incarcerated Amyand's hernia with cecum and terminal ileum involvement is a rare clinical entity. Even though it is not common, appendicitis is one of the comorbidities that can be seen in patients with left-sided incarcerated Amyand's hernia with cecum and terminal ileum. Surgeons should have a high index of clinical suspicion and be aware of the potential involvement of appendix, cecum, and ileum as part of an incarcerated hernia during surgery, even in the left inguinal region. In this case, left-sided incarcerated inguinal hernia which involved inflamed appendix, cecum, and terminal ileum was successfully managed using an inguinal approach.
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Affiliation(s)
- Kebebe Bekele
- Department of Surgery, School of Medicine, Madda Walabu University, Bale Robe, Ethiopia
| | - Desalegn Markos
- Unit of Neonatology Nursing, St Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia
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Chiang CC, Liu PH, Chou CP, Liu CH, Tsai MJ. Incarcerated Amyand's hernia. Tzu Chi Med J 2017; 29:129-130. [PMID: 28757782 PMCID: PMC5509206 DOI: 10.4103/tcmj.tcmj_27_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Revised: 09/30/2016] [Accepted: 10/18/2016] [Indexed: 06/07/2023] Open
Affiliation(s)
- Ching-Chung Chiang
- Department of General Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Pang-Hsu Liu
- Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Chih-Pin Chou
- Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Chung-Hsien Liu
- Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
| | - Ming-Jen Tsai
- Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan
- Department of Sports Management, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
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Yoneyama F, Tanaka H, Ono K, Sasaki T, Jimbo T, Gotoh C, Uesugi T, Urita Y, Shinkai T, Takayasu H, Imoto N, Masumoto K. An incarcerated appendix and the ileocecum within a left inguinal hernia in an infant. Surg Case Rep 2015; 1:61. [PMID: 26366358 PMCID: PMC4560130 DOI: 10.1186/s40792-015-0064-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2015] [Accepted: 07/22/2015] [Indexed: 12/08/2022] Open
Abstract
An 8-month-old boy with a left-sided incarcerated inguinal hernia involving the appendix, cecum, and terminal ileum was successfully managed via an inguinal approach during an emergency operation. A mobile cecum seemed to have contributed to the left-sided incarceration. Only 13 similar cases with the left-sided Amyand's hernia have been reported in the literature.
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Affiliation(s)
- Fumiya Yoneyama
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Hideaki Tanaka
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Kentaro Ono
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Takato Sasaki
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Takahiro Jimbo
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Chikashi Gotoh
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Toru Uesugi
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Yasuhisa Urita
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Toko Shinkai
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Hajime Takayasu
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
| | - Natsuki Imoto
- />Department of Pediatrics, Ryugasaki Saiseikai Hospital, Ryugasaki, Ibaraki Japan
| | - Kouji Masumoto
- />Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennnoudai, Tsukuba, Ibaraki 305-8575 Japan
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Mongardini M, Maturo A, De Anna L, Livadoti G, D'Orazi V, Urciuoli P, Custureri F. Appendiceal abscess in a giant left-sided inguinoscrotal hernia: a rare case of Amyand hernia. SPRINGERPLUS 2015. [PMID: 26217555 PMCID: PMC4515216 DOI: 10.1186/s40064-015-1162-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
The hernia of Amyand is an inguinal hernia containing the appendix in the sac. It is a rare pathology often diagnosed only intra-operatively. We report a case even more rare of a giant left-sided inguinoscrotal Amyand hernia with appendiceal abscess without clinical findings of incarceration/strangulation, occlusion, perforation, or acute scrotum and with the presence in the sac of the caecum and other anatomical structures (last ileal loops, bladder and omentum). The 68-years-old man patient successfully underwent surgical treatment only through the hernia sac (meshless repair according to Postempski technique).
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Affiliation(s)
- Massimo Mongardini
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
| | - Alessandro Maturo
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
| | - Livia De Anna
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
| | - Giada Livadoti
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
| | - Valerio D'Orazi
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
| | - Paolo Urciuoli
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
| | - Filippo Custureri
- Department of Surgical Sciences, "Sapienza" University of Rome, "Umberto I" University Hospital, Viale Regina Elena 324, 00161 Rome, Italy
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