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Case Report
Amyand's hernia associated with acute appendicitis
1 Medical Sciences Course, Health Sciences School, Faculdade Ceres (FACERES), São José do Rio Preto, SP, Brazil
2 Neurosurgeon, Member of the Brazilian Society of Neurosurgery, Santa Mônica Hospital, Goiânia, GO, Brazil
3 Medical Sciences Course, Health Sciences School, Metropolitan University of Santos, Santos, SP, Brazil
4 Neurosurgeon, PhD in Neurosurgery, Member of the Brazilian Society of Neurosurgery, Professor at Santa Mônica Hospital, Goiânia, GO, Brazil
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Pedro Nogarotto Cembraneli
Avenida AnÃsio Haddad nº 6751, São José do Rio Preto, SP,
Brazil
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Article ID: 100078Z06PC2020
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Cembraneli PN, Cavalcante JBF, Cavalcante RBF, Ambrogi G, Cavalcante JES. Amyand's hernia associated with acute appendicitis. Case Rep Int 2020;9:100078Z06PC2020.ABSTRACT
Introduction: Amyand’s hernia (AH), a rare form of inguinal hernia, is characterized by finding the cecal appendix within the hernial sac. It is observed in 0.4–0.6% of inguinal hernias and complications such as acute appendicitis or perforated appendicitis can occur in 0.1% of the cases. The diagnosis is most often performed intraoperatively and its classification and management depend on the degree of appendix involvement.
Case Report: A 53-year-old male patient presenting with right iliac fossa pain for two days associated with a mass in the right inguinal region. Physical examination revealed an irreducible right inguinal hernia, leading to the diagnosis of incarcerated inguinal hernia. Surgical treatment was proposed and performed. It evidenced the presence of the cecal appendix within the hernial sac with clear signs of inflammation (type II of the Losanoff and Basson classification). The cecal appendix was reduced, an appendectomy was performed via McBurney incision, and the right inguinal abdominal wall was repaired with no need for prosthetic mesh.
Conclusion: Although AH is a rare condition, it should be considered among the differential diagnoses in cases of pain in the iliac fossa, inguinal swelling, and signs of infection.
Keywords: Acute abdomen, Acute appendicitis, Amyand’s hernia, Inguinal hernia
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Author Contributions
Pedro Nogarotto Cembraneli - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Julia Brasileiro de Faria Cavalcante - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Renata Brasileiro de Faria Cavalcante - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gabriel Ambrogi - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
José Edison da Silva Cavalcante - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Pedro Nogarotto Cembraneli et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
