Gligorievski, Antonio (2020) A rare case of Amyand’s hernia with acute appendicitis in a 69- year-old woman: a case report. Iberoamerican Journal of Medicine. ISSN 2695 5075
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Abstract
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.
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Antonio Gligorievski |
| Date Deposited: | 08 Feb 2021 11:07 |
| Last Modified: | 08 Feb 2021 11:07 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/27664 |
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