Lage des patients peut varier entre 3 semaines et 92 ans. Amyands hernia, report of three cases and discussion of. It is a rare disease and diagnosis is usually made during the perioperative because in most cases are mistaken for incarcerated inguinal hernia. The term amyands hernia refers to the presence of the appendix within the hernia sac. Amyands hernia, the situation in which appendicitis is noted in the hernia sac, is a rare occurrence. The presence of vermiform appendix in inguinal hernia, referred to as amyands hernia, is rare occurring in about 1% of inguinal hernias. Pdf abstract amyands hernia is defined as when the appendix is trapped within an inguinal hernia. Division of emergency radiology, emory university, atlanta, ga 30308, usa. The condition is an eponymous disease named after a french surgeon, claudius amyand 16601740, 2 who performed the first successful appendectomy in 1735. Amyands hernia is a rare presentation of inguinal hernia, in which the appendix is incarcerated within the hernia sac.
The occurrence of these two conditions together is even more rarely reported. Surgery is therefore frequently diagnostic as well as therapeutic. A vermiform appendix in an inguinal hernia, inflamed or not, is known as amyands hernia. Is a very infrequent pathology with an incidence of 0. We retrospectively studied 963 caucasian patients with inguinal hernia who were admitted to our surgical department over a 12year period. Amyands hernia is defined as an inguinal hernia containing vermiform appendix. We present a case in which an amyands hernia was discovered in a patient with both an umbilical and a rightsided inguinal hernia. Abstract amyand s hernia is defined as when the appendix is trapped within an inguinal hernia. Amyands hernia is a rare form of an inguinal hernia less than 1% of inguinal hernias which occurs when the appendix is included in the hernial sac and becomes incarcerated. Amyands hernia is a rare clinical entity that is difficult to diagnose preoperatively. While the incidence of this type of hernia is rare, the appendix may become incarcerated within. Sonographic diagnosis of appendicitis within a right inguinal.
An amyands hernia is a rare occurrence where the vermiform appendix is found in an inguinal hernia sac. Amyands hernia with adenocarcinoid tumor springerlink. There is, however, an exception where the appendix is on the left side. Amyand s hernia is a diagnostic challenge due to its low incidence, indistinct clinical presentation, and ambiguous appearance on imaging such as ct.
Pdf the term amyand hernia refers to presence of appendix within inguinal hernia. Laparoskopischer bruchluckenverschluss bei appendizitis im. The incidence of having a normal appendix within an inguinal hernia sac is about 1%, whereas only 0. Voiglio, filippo salvatore di dio, francois irmay, leo hans buehler and philippe morel. Amyands hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. This is a report of amyands hernia, which presented as a sliding component along with enterocele in a right. Amyand hernia is a rare form of inguinal hernia in which the vermiform appendix is located within the hernial sac. Inflammatory alterations in the appendix account only for 0. Amyands hernia ah is an inguinal hernia containing the vermiform appendix, with an incidence between 0. Over 10 million scientific documents at your fingertips. A vermiform appendix in an inguinal hernia sac, with or without appendicitis, is called amyand s hernia. Apr 09, 2012 amyands hernia is a rare clinical entity that is difficult to diagnose preoperatively. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Although inguinal hernias are common in children, teens, and men, an amyands hernia rarely develops.
Amyands herniaa vermiform appendix presenting in an. Amyands hernia remains relatively unknown dispite having been first reported nearly 270 years ago. Amyand s hernia constituted 1% of all inguinal hernias, whereas only 0. Apr 14, 2015 amyand hernia is a rare condition and represents two of the most common diseases a general surgeon has to face hernia and appendicitis. Une hernie peut sortir par une cavite naturelle ou artificiellement creee. Amyand hernia is most frequently reported in men, and almost exclusively on the right side. Guidelines world guidelines for groin hernia management. Amyands hernia with adenocarcinoid tumor, hernia 10. Acute or perforated appendicitis can complicate ah. The presence of an inflamed or gangrenous appendix increases the rate of complication, particularly increasing the rate of wound infection. Management involves a laborious surgical technique, and its definitive treatment will depend on the surgeons experience and clinical scenario.
Amyand s hernia is a rare presentation of inguinal hernia, in which the appendix is incarcerated within the hernia sac. The authors report a case of gangrenous acute appendicitis in the sac of an inguinal hernia amyands hernia. Amyand hernia is a rare form of an inguinal hernia in which the vermiform appendix is located within the hernial sac. In some cases, it can be accompanied by the cecum, bladder, ovarian, fallopian tube, omentum or a meckel diverticulum. Claudius amyand 16601740, a french surgeon working at st georges and westminster hospitals in london, performed the first successful appendectomy in 1735, on an 11yearold boy who presented with an inflamed, perforated appendix in his inguinal hernia sac. This case report looks at the clinical presentation, the modalities for. Sep 12, 2009 the contents of an incarcerated inguinal hernia sac usually consist of small bowel or omentum. Thieme ejournals zentralblatt fur chirurgie zeitschrift. Shekhani1, saurabh rohatgi1, tarek hanna1, jamlikomari johnson1 1. We report the case of a 62yearold male with these two diseases. The risk for an amyands hernia that involves acute appendicitis is even rarer.
The condition is an eponymous disease named after a french surgeon, claudius amyand 16601740, who performed the first successful appendectomy in 1735. An 84yearold man presented with a 5day history of swelling and discomfort in the right inguinal region, which was. Amyands hernia is a diagnostic challenge due to its low incidence, indistinct clinical presentation, and ambiguous appearance on imaging such as ct. Diagnosis is usually made at the time of surgery, which is usually indicated in all incarcerated hernias.
A 75yearold caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Honor society of nursing stti amyands hernias occur in less than one percent of adults who have an inguinal hernia. Amyands hernia, state of the art and new points of view. Amyand s hernia is a rare hernia in which an incarcerated or perforated appendix is found in the right inguinal canal.
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