CT findings of normal and inflamed appendix in groin hernia
ABSTRACT 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.
SourceAvailable from: Murat KayaInternational Journal of Clinical Medicine 01/2013; 04(07):1-3. DOI:10.4236/ijcm.2013.47A2001
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ABSTRACT: Amyand's hernia is an inguinal hernia that contains vermiform appendix in its sac. It consists 1 % of all inguinal hernias while appendicitis in an Amyand's hernia accounts for 0.1 % of all appendicitis cases. Its clinical image is identical to that of an incarcerated or perforated inguinal hernia. Diagnosis is usually established intraoperatively. Hernioplasty (with or without mesh repair and with or without appendectomy) is the treatment of choice. According to Losannof and Basson's criteria, performance of appendectomy shall depend on vermiform appendix's inflammation status. In this case series, authors present three patients who had to undergo prophylactic appendectomy because of medical conditions, unrelated to appendix's inflammation status thus escaping from therapeutic frame set by Losanoff and Basson's criteria.Hernia 01/2014; DOI:10.1007/s10029-013-1209-1 · 2.09 Impact Factor
Hernia 03/2014; DOI:10.1007/s10029-014-1233-9 · 2.09 Impact Factor