A rare case of type II Amyand’s hernia
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Published:2023-03-22
Issue:
Volume:
Page:1-10
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ISSN:0030-9982
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Container-title:Journal of the Pakistan Medical Association
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language:
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Short-container-title:J Pak Med Assoc
Author:
Jakovljevic Stefan,Cvetkovic Aleksandar,Marko Spasic ,Stojanovic Bojan,Petrovic Marko,Bojan Milosevic
Abstract
Amyand's hernia represents an inguinal hernia containing an appendix within the hernia sac. This extremely rare condition occurs in approximately 1% of all inguinal hernias. This report describes the case of an 84-year-old male who presented with a right inguinal mass that intraoperatively turned out to be Amyand's hernia type-II with a gangrenous and perforated appendix. An appendectomy and peritoneal lavage were performed, followed by a hernioplasty where a modified Bassini repair was used. The patient fully recovered, and was discharged from the hospital on the fourth day. A non-reducible inguinal hernia containing a perforated appendix is a very rare emergency that requires immediate intervention to prevent abdominal sepsis. Therefore, while examining an inguinal hernia, the possibility of Amyand's hernia should always be considered.
Keywords: Amyand's hernia, Acute appendicitis, Inguinal hernia.
Publisher
Pakistan Medical Association