CT findings of normal and inflamed appendix in groin hernia

Department of Radiology, St. Paul's Hospital, 1081 Burrard St, Vancouver, British Columbia, V6Z 1Y6, Canada.
Emergency Radiology 07/2007; 14(2):97-100. DOI: 10.1007/s10140-007-0601-5
Source: PubMed


Acute appendicitis with the vermiform appendix located in a groin hernia is a rare condition. The preoperative diagnosis is important to decrease morbidity. We describe the computed tomography imaging characteristics of three cases of normal and inflamed appendices in inguinal and femoral hernias. We provide a review of the literature and consider the implications for surgical management.

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    • "1736 M 11 1 Grade C Ceulemans et al. [3] 2014 M 70 1 Grade B Dong et al. [4] 2014 M 63 1 Grade B Hussain et al. [5] 2014 M 40 1 Grade B Türkman et al. [6] 2013 M 73 1 Grade A Lombardo and Pavone [7] 2013 M 47 1 Grade A Maizlin et al. [8] "
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    ABSTRACT: Inguinal hernia is a common disorder with an estimated prevalence of 1.2% of the entire population and it is 12 times more common in males. Objective. To describe a case of appendix with signs of inflammation in the hernia sac, condition that is rare and difficult to diagnose, and to perform literature review, describing the most relevant aspects and the main controversies. Method. Report of a case and search in PubMed on June 1, 2015, using the terms “Appendix” [MeSH term] AND “hernia, inguinal” [MeSH term]. Results. The search resulted in 38 articles in total, and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Discussion. The search resulted in a total of 38 articles and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Conclusion. Amyand’s hernia is a rare and difficult to diagnose condition, being commonly found occasionally in surgical procedures. It should be remembered in the presence of cases of incarcerated hernia, due to its possible complications if not diagnosed.
    01/2015; 2015(3):1-5. DOI:10.1155/2015/941039
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    • "Richter's hernia, or inguinal lymphadenitis [4] [5]. Nevertheless , there have been cases diagnosed before surgery with ultrasonography and by computed tomography scan [6]. Here, in the present case, an operation was immediately performed because of the strangulated and incarcerated hernia without the need for any imaging process. "

    International Journal of Clinical Medicine 01/2013; 04(07):1-3. DOI:10.4236/ijcm.2013.47A2001
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    ABSTRACT: Amyand hernia is rare condition and has been described as the presence of appendix vermiformis in an inguinal hernia sac. The incidence of Amyand hernia is approxi-mately 1% of types inguinal hernia. A 53 year old man admitted to emergency department with right inguinal re-gion tenderness. Incarcerated right inguinal hernia was observed on physical examination. Computed tomogra-phy revealed appendix vermiformis in right inguinal hernia sac. Right hemicolectomy, partial small bowel resection, and hernia repair was performed due to inflammatory and enlarged appendix and necrotic ileocecal area in the inguinal hernia sac. The patient was discharged on the postoperative 14 th day uneventfully. Signs and symp-toms of acute appendicitis are overshadowed by clinical findings related to incarcerated inguinal hernia and thus preoperative diagnosis of Amyand Hernia may be very difficult. The aim of this report is to describe and review the litreture in a case operated for incarcerated inguinal hernia and diagnosed as Amyand hernia in peroperative period.
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