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A rare case of type II Amyand's hernia
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
Published: Journal: Journal of Pakistan Medical Association, Volume: 73, Issue: 7, Year: 2023
Keywords:
Amyands Hernia , Inguinal hernia , Acute appendicitis
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