DOI: http://dx.doi.org/10.18203/2349-3933.ijam20161013

Amyand’s hernia: a need for greater surgical awareness

Ketan Vagholkar, Amish Pawanarkar, Suvarna Vagholkar, Kashmoorvalishah Pathan

Abstract


Amyand’s hernia is typically described as a inguinal hernia containing the appendix in its sac. The true incidence of this hernia is still not discernible in view of its rarity. However the chances of complications in this type of hernia are extremely high. The clinical presentation of Amyand’s hernia is variable making the diagnosis challenging. This paper describes the pathophysiology and surgical approaches to Amyand’s hernia to create awareness of this occasional surprise.


Keywords


Amyand’s hernia, Appendix, Diagnosis, Treatment

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References


Amyand C. Of an inguinal rupture, with a pin in the appendix caeci, incrusted with stone; and some observations on wounds in the guts. Phil Trans R Soc Lond. 1973;39:329.

Ali SM, Malik KA, Al- Qadhi H. Amyand’s hernia: study of four cases and literature review. SQU Medical Journal. 2012;12:232-36.

Sharma H, Gupta A, Shekhawat NS. Amyand’s hernia: a report of 18 consecutive cases over a 15 year period. Hernia. 2007;11:31-35.

Pelligrino JM, Feldman SD. Case report: Acute appendicitis in an inguinal hernia. N J Med. 1992;89:225-26.

Hutchinson R. Amyand’s hernia. J R Soc Med. 1993;86:104-5.

Lyass S, Kim A, Bauer J. Perforated appendicitis within an inguinal hernia: Case report and review of literature. Am J Gastroenterol. 1997;92:700-2.

Kueper Ma, Kirschniak A, Ladurner R. Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicualr abscess: case report and review of the literature. Hernia. 2007;11:189-91.

Serrano A, Ackerman NB. Perforated appendix in an incarcerated inguinal hernia. Arch Surg. 1979;114:968.

Milburn JA, Youngson GG. Amyand’s hernia presenting as neonatal testicular ischaemia. Pediatr Surg Int. 2006;22:390-2.

Francko J, Raftopoulos J, Sulkowski R. A rare variation of Amyand’s hernia. Am J Gastroenterol. 2002;97:2684-85.

Osorio JK, Guzman- Valdivia GG. Ipsilateral Amyand’s and Richter’s hernia, complicated by necrotising fasciitis. Hernia. 2006;10:443-46.

Wu CI, Yu CC. Amyand’s hernia with adenocarcinoid tumor. Hernia. 2010;14:423-35.

Gupta S, Sharma R, Kaushik R. Left sided Amyand’s hernia. Singapore Med J. 2005;46:424-25.

Singh K, Singh RR, Kuar S. Amyand’s hernia. J Indian Assoc of Pediatr Surg. 2011;16:171-72.

Mullinax JE, Allins A, Avital I. Laparoscopic appendicectomy for Amyand’s hernia: A modern approach to a historic diagnosis. J Gastrointest Surg. 2011;15:533-35.

Sagar VR, Singh K, Sarangi R. Endoscopic total extraperitoneal management of Amyand’s hernia. Hernia. 2004;8:164-65.

Torino G, Campisi C, Testa A, Baldassarre E, Valenti G. Prosthetic repair of aperforated Amyand’s hernia: hazardous or feasible? Hernia 2007;11:551-52.

Losanoff JE, Basson MD. Amyand’s hernia: what lies beneath – a proposed classification scheme to determine management. Am Surg. 2007;73:1288-90.

Upadhyaya VD, Kumar V, Srivastava P, Gangopadhyaya AN. Amyand’s hernia in infant: A rare entity. Kathmandu Univ Med J (KUMJ). 2009;7:143-44.

Milanchi S, Allins AD. Amyand’s hernia: history, imaging, and management. Hernia. 2008;12:321-22.

Anagnostopoulou S, Dimitroulis D, Troupis TG. Amyand’s hernia: A case report. World J Gastroenterol. 2006;12:4761-63.

Inan I, Myers PO, Hagen ME, Gonzalez M, Morel P. Amyand’s hernia: 10 years’ experience. Surgeon. 2009;7(4):198-202.

Chatzimavroudis G, Papaziogas B, Koutelidakis I, Tsiaousis P, Kaloqirou T, Atmatzidis S, et al. The role of prosthetic repair in the treatment of an incarcerated recurrent inguinal hernia with acute appendicitis (inflamed Amyand’s hernia) Hernia. 2009;13(3):335-6.

Michalinos A, Moris D, Vernadakis S. Amyand’s hernia: a review. Am J surg. 2014;207(6):989-95.

Ciqsar EB, Karadaq CA, Sever N, Dokucu AI. Should appendicectomy be performed in Amyand’s hernia? Two case reports. Ulus Travma Acil Cerrahi Derg. 2013;19(5):488-90.