Journal article Open Access

A rare case of Amyand's hernia with acute appendicitis in a 69-year-old woman: a case report

Antonio Gligorievski

Introduction: Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The aim of this report is to describe a case of Amyand’s hernia and highlights the importance of early CT scanning in reaching the exact and early diagnosis of Amyand’s hernia.
Case report: We present a rare case of a 69-year-old female patient with a history of intermittent pain in the right inguinal region is see at the emergency surgical clinic. The patient underwent a CT scan of the abdomen and a small pelvis, and an inflamed appendix was diagnosed. The inflamed appendix is herniated in the inguinal hernia sac. Computed tomography was the only modality to diagnose the hernia sac contents preoperatively.
Discussion: The reported incidence of Amyand’s hernia is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis. This hernia may be present without symptoms until the inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation, or rupture. Early symptoms include tenderness and inguinal swelling.
Conclusions: Computer tomography helps make an accurate and timely diagnosis of Amyand’s hernia, thus avoiding complications from delayed surgery.

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  • Amyand C. Of an inguinal rupture, with a pin in the appendix coeci incrusted with stone; and some observations on wounds in the guts. Philos T R Soc (London). 1736;39:329-42. doi: https://doi.org/10.1098/rstl.1735.0071.

  • Anagnostopoulou S, Dimitroulis D, Troupis T, Allamani M, Paraschos A, Mazarakis A, et al. Amyand's hernia: a case report. World J Gastroenterol. 2006;12(29):4761-3. doi: 10.3748/wjg.v12.i29.4761.

  • D'Alia C, Lo Schiavo MG, Tonante A, Taranto F, Gagliano E, Bonanno L, et al. Amyand's hernia: case report and review of the literature. Hernia. 2003;7(2):89-91. doi: 10.1007/s10029-002-0098-5.

  • Esteban-Zubero E, Andrés-Matías M, Alatorre-Jiménez MA, Marín-Medina A, Morros-Blanco L, Soto Brambila A, et al. Amyand's Her-nia, an Unusual Inguinal Hernia. A Case Report. Mathews J Case Rep. 2018;3(2):041.

  • Fernando J, Leelaratna S. Amyand's hernia. Ceylon Med J. 2002;47(2):71.

  • Ivanschuk G, Cesmebasi A, Sorenson EP, Blaak C, Loukas M, Tubbs SR. Amyand's hernia: a review. Med Sci Monit. 2014;20:140-6. doi: 10.12659/MSM.889873.

  • Logan MT, Nottingham JM. Amyand's hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Am Surg. 2001;67(7):628-9.

  • Losanoff JE, Basson MD. Amyand hernia: what lies beneath--a proposed classification scheme to determine management. Am Surg. 2007;73(12):1288-90.

  • Lyass S, Kim A, Bauer J. Perforated appendicitis withen an inguinal hernia; a case report and review of literature. Am J Gastroenterol. 1997;92(4):700-2.

  • Maizlin ZV, Mason AC, Brown C, Brown JA. CT findings of normal and inflamed appendix in groin hernia. Emerg Radiol. 2007;14(2):97-100. doi: 10.1007/s10140-007-0601-5.

  • McIntosh A, Hutchinson A, Roberts A, Withers H. Evidence-based management of groin hernia in primary care--a systematic review. Fam Pract. 2000;17(5):442-7. doi: 10.1093/fampra/17.5.442.

  • Mebis W, Hoste P, Jager T. Amyand's Hernia. J Belg Soc Radiol. 2018;102(1):8. doi: 10.5334/jbr-btr.1402.

  • Michalinos A, Moris D, Vernadakis S. Amyand's hernia: a review. Am J Surg. 2014;207(6):989-95. doi: 10.1016/j.amjsurg.2013.07.043 14.

  • Patoulias D, Kalogirou M, Patoulias I. Amyand's Hernia: an Up-to-Date Review of the Literature. Acta Medica (Hradec Kralove). 2017;60(3):131-4. doi: 10.14712/18059694.2018.7.

  • Sadhu J, Samuel VM, Kodiatte T, Gaikwad P. Amyand's Hernia: Case Report -Current Dilemma in Diagnosis and Management. J Clin Diagn Res. 2015;9(2):PD03-PD4. doi: 10.7860/JCDR/2015/11295.5548.

  • Sharma H, Gupta A, Shekhawat NS, Memon B, Memon MA. Amyand's hernia: a report of 18 consecutive patients over a 15-year period. Hernia. 2007;11(1):31-5. doi: 10.1007/s10029-006-0153-8.

  • Shekhani HN, Rohatgi S, Hanna T, Johnson JO. Amyand's Hernia: A Case Report. J Radiol Case Rep. 2016;10(12):7-11. doi: 10.3941/jrcr.v10i12.2833.

  • To J, Hanna P, Mohammed R, Trinh S, Vazquez F, Zuberi J, et al. Amyand's hernia presenting as an unusual inguinal mass: a case report. Ann Transl Med. 2017;5(17):346. doi: 10.21037/atm.2017.06.59.

  • Tsang WK, Lee KL, Tam KF, Lee SF. Acute appendicitis complicating Amyand's hernia: imaging features and literature review. Hong Kong Med J. 2014;20(3):255-7. doi: 10.12809/hkmj133971.

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Publication date:
June 19, 2020
DOI:
10.5281/zenodo.3901501

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Keyword(s):
Amyand's hernia Inguinal hernia Appendix Hernia sac CT Appendectomy
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Iberoamerican Journal of Medicine: 2 pp. 385-387 (4).
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