A Rare Cause of Acute Abdomen

Česká verze

Authors: R. Hrivnák; I. Hanke; I. Penka ; Z. Kala
Authors place of work: Chirurgická klinika FN Brno, Lékařská fakulta MU Brno, přednosta: prof. MUDr. Z. Kala, CSc.
Published in the journal: Rozhl. Chir., 2011, roč. 90, č. 9, s. 523-526.
Category: Monotematický speciál - Původní práce

Summary

Background:
Amyand’s hernia is a rare condition in which the appendix is positioned in the inguinal hernia sac. Acute appendicitis in this situation is a extremely rare and only a few reports are found in the literature.

Methods:
Case report

Results and conclusion:
We report a case of acute gangrenous appendicitis with the perforation at the tip of the appendix, which was incarcerated in the right groin. We conduct a review of the literature, emphasizing possible causes and suggesting a predisposing factor for the condition.

Key words:
Amyand’s hernia – gangrenous appendicitis – inguinal hernia

Zdroje

1. Fitzgerald, E., Neary, P., Conlon, K. C. An unusual case of appendicitis. Ir. J. Med. Sci., 2005; 174: 65–66.

2. Liang, M. K., Lo, H. G., Marks, J. L. Stump appendicitis: a comprehensive review of literature. Am. Surg., 2006; 72: 162–166.

3. Solecki, R., Matyja, A., Milanowski, W. Amyand’s hernia: a report of two cases. Hernia, 2003; 7(1): 50–51.

4. Rutkow, I. M., Robbins, A. W. Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States. Surg. Clin. North Am., 1993; 73: 413–426.

5. Nguyen, E. T., Komenaka, I. K. Strangulated femoral hernia containing a perforated appendix. Can. J. Surg., 2004; 47: 68–69.

6. Voitk, A. J., MacFarlane, J. K., Estrada, R. L. Ruptured appendicitis in femoral hernias: report of two cases and review of the literature. Ann. Surg., 1974; 179: 24–26.

7. Thomas, W. E. G., Vowles, K. D. J., Williamson, R. C. N. Appendicitis in external herniae. Ann. R. Coll. Surg. Engl., 1982; 64: 121–122.

8. Amyand, C. Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. Phil. Trans. Royal Soc., 1736; 39: 329–342.

9. Creese, P. G. The first appendectomy. Surg. Gynecol. Obstet, 1953; 97: 643–652.

10. Salemis, N. S., et al. Perforated appendix and periappendicular abscess within an inguinal hernia. Hernia, 2007; 10: 528–530.

11. Ryan, W. J. Hernia of the vermiform appendix. Ann. Surg., 1937; 106: 135–139.

12. Hutchinson, R. Amyand’s hernia. J. R. Soc. Med., 1993; 86: 104–105.

13. Abu-Dalu, J., Urca, I. Incarcerated inguinal hernia with a perforated appendix and periappendicular abscess. Dis. Colon Rectum, 1972; 15: 464–465.

14. Weber, R. V., Hunt, Z. C., Kraal, J. G. Amyand’s hernia: Etiologic and therapeutic implications of the two complications. Surg. Rounds, 1999; 22: 552–556.

15. Carey, L. C. Appendicitis occurring in hernias: a report of 10 cases. Surgery, 1967; 61: 236–238.

16. D’Alia, C., et al. Amyand’s hernia: case report and review of literature. Hernia, 2003; 7: 89–91.

17. Gupta, S., Sharma, R., Kaushik, R. Left-sided Amyand’s hernia. Singapore Med. J., 2005; 46: 424–425.

18. Sharma, H., et al. Amyand’s hernia: a report of 18 consecutive patients over a 15-year period. Hernia, 2007; 11: 31–35.

19. Logan, M. T., Nottingham, J. M. Amyand’s hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Am. Surg., 2001; 67: 628–629.

20. Vermillion, J. M., Abernathy, S. W., Snyder, S. K. Laparoscopic reduction of Amyand’s hernia. Hernia, 1999; 3: 159–160.

22. Fukukura, Y., Chang, S. D. Acute appendicitis within a femoral hernia: multidetector CT findings. Abdominal Imaging, 2005, 30: 620–622.

23. Barut I., Tarhan Ö. R. A rare variation of Amyand’s hernia: Gangreneous apendicitis in an incarcerated inguinal hernia sac. Eur. J. Gen. Med., 2008; 5(2): 112–114.

24. Novák, J., Moravec, R. Kýly. In: Balaš V., aj. Speciální chirurgie II. Praha: Avicenum, 1985; 18.