A rare case of type II Amyand's hernia | [Journal of Pakistan Medical Association • 2023]

Author(s):

1. Stefan Jakovljevic: Department of Surgery, University of Kragujevac,Kragujevac,Serbia

2. Aleksandar Cvetkovic: Department of Surgery, University of Kragujevac,Kragujevac,Serbia

3. Marko Spasic: Department of Surgery, University of Kragujevac,Kragujevac,Serbia

4. Bojan Stojanovic: Department of Surgery, University of Kragujevac,Kragujevac,Serbia

5. Marko Petrovic: Department of Surgery, University of Kragujevac,Kragujevac,Serbia

6. Bojan Milosevic: Department of Surgery, University of Kragujevac,Kragujevac,Serbia

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.

Page(s): 1518-1520

DOI: 10.47391/JPMA.6700

Published: Journal: Journal of Pakistan Medical Association, Volume: 73, Issue: 7, Year: 2023

Keywords:

Amyands Hernia , Inguinal hernia , Acute appendicitis

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