CT findings of normal and inflamed appendix in groin hernia
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.
[Show abstract] [Hide abstract] 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.0Comments 0Citations
- "1736 M 11 1 Grade C Ceulemans et al.  2014 M 70 1 Grade B Dong et al.  2014 M 63 1 Grade B Hussain et al.  2014 M 40 1 Grade B Türkman et al.  2013 M 73 1 Grade A Lombardo and Pavone  2013 M 47 1 Grade A Maizlin et al.  "
[Show abstract] [Hide abstract] ABSTRACT: ABSTRACT Inguinal hernia repairs are one of the most common operations performed by the general surgeon. Occasionally, an emergency repair must be performed in the setting of painful incarceration, strangulation or obstruction. It is therefore essential that sound knowledge of the anatomy of the inguinal canal and variants of the inguinal hernia are required. One such variant is an Amyand’s hernia, a rare inguinal hernia defined by the presence of the appendix in the inguinal canal. We report a 52 year old male who presented to our institution with a painful incarcerated right inguinal hernia who subsequently underwent emergency repair. A Type 1 Amyand’s hernia was discovered on operation, an appendectomy and a Lichtenstein hernia repair were then performed. Due to the rarity of this hernia there are no standard guidelines for repair with respect to performing appendectomy or the use of mesh post appendectomy. The goal of this report is to assist the surgeon in making an informed decision on treatment of this rarity by review of current literature.0Comments 0Citations
- "Amyand's hernia is diagnosed almost exclusively intraoperatively, however, there are a few cases where the diagnosis was made preoperatively. In these cases, this was done via the use of radiological investigations . Having obtained the diagnosis of Amyand's hernia, how should one proceed? "
- "Bizim olgumuzda da tanı peroperatif konmuştur. Kontrastlı bilgisayarlı tomografi, inguinal herni tanısında rutin kullanımda olmamakla birlikte, girişim öncesinde tanı konmasında yardımcı olabilir [5, 9, 14]. Luchs ve ark. "