Abstract
Abstract: Amyand’s hernia is described in the inguinal hernia sac as being the presence of an appendix vermiformis. It is a rare condition the incidence is about 1 per cent of all inguinal hernias. It is often diagnosed incidentally during inguinal hernia surgery. The main treatment method of Amyand’s hernia is surgery. We report a case of 63 years old man who presented with right inguinal groin bulge for 1 month with the previous repaired right inguinal hernia 5 years ago. On clinical examination revealed a 6 cmx8 cm firm, nontender, irreponible mass in the right inguinal region. He was diagnosed as right sided irreponible inguinal hernia. He was undergoing the elective surgery. Intra-operative, the hernia sac was laterally found in the inferior epigastric vessels and separated from sperm cord to deep inguinal ring. The hernia sac was opened. A non-inflamed appendix was seen. Appendectomy was performed, and the hernia was repaired by Halsted’s repair. Amyand’s hernia is a rare condition. The correct diagnosis is usually made intraoperative. Keywords: Amyand’s hernia, appendectomy, hernia repair, inguinal hernia.
Highlights
Amyand’s hernia, introduced by CladiusAmyand in 1735, is described in the inguinal hernia sac as being the presence of an appendix vermiformis.[1,2,3,4] Based on literature review, Amyand’s hernia is a rare condition, the incidence is about 1 per cent of all inguinal hernias.[5]
There is no defecation disorder, nausea and vomitus. He was concerned that 5 years ago, a right inguinal hernia, previously repaired, had recurred from its original tissue repair
Non-inflammatory appendix is estimated to occur in 1% of all adult hernia repairs, while 0,13% of appendicitis cases occur in an inguinal hernia
Summary
Amyand in 1735, is described in the inguinal hernia sac as being the presence of an appendix vermiformis.[1,2,3,4] Based on literature review, Amyand’s hernia is a rare condition, the incidence is about 1 per cent of all inguinal hernias.[5]. CASE REPORT A 63 years old male, a labor, was taken to Department of Surgery, with a chief complaint of a right groin bulge for 1 month. The groin bulge was in control of manually, for last two days it was not. At first, when he first complains the abnormality, he had sharp pain but had been asymptomatic ever since. There is no defecation disorder, nausea and vomitus He was concerned that 5 years ago, a right inguinal hernia, previously repaired, had recurred from its original tissue repair. The patient was diagnosed as a right-sided irreponible inguinal hernia. The hernia sac is found laterally in the inferior epigastric vessel and is separated from the spermatic cord into the inner inguinal ring. After 3 months of follow-up, the patient was fine
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