Acta Scientific Clinical Case Reports (ASCR)

Case Report Volume 1 Issue 3

When the General Surgeon Encounters the Amyand’s Hernia

Ervis Agastra* and Xhevat Spaneshi

Regional Hospital of Durres, Albania

*Corresponding Author:Ervis Agastra, Regional Hospital of Durres, Albania.

Received: March 09, 2020; Published: March 17, 2020

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Abstract

  The Amyand’s Hernia is a rare form of inguinal hernia containing the appendix. It is well known from centuries since Claudius Amyand described it first in 1735 linked closely to the first appendectomy. It represents 1% of inguinal hernias and is most common in children and in the right side. Even though it is a curious finding it is interesting the fact that for centuries its management was left in the surgeon’s preference. It is only in 2007 that Losanoff and Basson described its classification and best treatment.

  We describe our case in the hospital of Durres and how we reasoned to manage it. Even though we were in doubt to perform or not appendectomy we did it based on the reasons we describe in the article and we did Lichtenstein hernia repair.

  The patient had a good recovery but as you will read through the article there are many tremendous complication linked to a wrong management and technique which are described previously in the literature worldwide so no surgeon should overlook or underestimate the treatment of this special rare type of hernia.

Keywords: Surgery; Amyand; Inguinal Hernia; Losanoff; Basson; Necrotising Fascitis; Lichtenstein; Durres; Albania

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References

  1. Amyand Claudius. "Of an inguinal rupture, with a pin in the appendix caeci, incrusted with stone and some observations on wounds in the guts". Philosophical Transactions of the Royal Society of London 39.443 (1735): 329-336.
  2. Green J and Gutwein LG. “Amyand's hernia: a rare inguinal hernia”. JSCR (2013).
  3. Lyass S., et al. “Perforated appendicitis within an inguinal hernia: Case report and review of the literature”. The American Journal of Gastroenterology 92 (1997): 700-702.
  4. Kueper MA., et al. “Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicular abscess: case report and review of the literature”. Hernia 11 (2007): 189-191. 
  5. Serrano A and Ackerman NB. “Perforated appendix in an incarcerated inguinal hernia”. The Archives of Surgery 114 (1979): 968. 
  6. Milburn JA and Youngson GG. “Amyand’s hernia presenting as neonatal testicular ischaemia”. Pediatric Surgery International 22 (2006): 390-392. 
  7. Ioannidis O., et al. “Strangulation of the vermiform appendix within a right inguinal hernia: A rare variation of Amyand’s hernia [Letter to the Editor]”. The American Surgeon 76 (2010): 1305-1306. 
  8. Francko J., et al. “A rare variation of Amyand’s hernia”. The American Journal of Gastroenterology 97 (2002): 2684-2685. 
  9. Marron CD., et al. “Amyand’s hernia causing necrotizing fasciitis of the anterior abdominal wall”. Hernia 9 (2005): 381-383. 
  10. Osorio JK and Guzman-Valdivia GG. “Ipsilateral Amyand’s and Richter’s hernia, complicated by necrotizing fasciitis”. Hernia 10 (2006): 443-446. 
  11. Losanoff JE and Basson MD. “Amyand hernia: What lies beneath - a proposed classification scheme to determine management”. The American Surgeon 73 (2007): 1288-1290.
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Citation

Citation: Ervis Agastra and Xhevat Spaneshi. “When the General Surgeon Encounters the Amyand’s Hernia”. Acta Scientific Clinical Case Reports 1.3 (2020): 08-10.




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Acceptance rate35%
Acceptance to publication20-30 days

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