Incisional Hernia Following Laparoscopy, Complicated by Perforated Gangrenic Appendicitis – A Case Review

Česká verze

Authors: M. Černá; R. Šulc; D. Kacerovská
Authors place of work: Patologicko-anatomický ústav FN a LF UK v Plzni, přednosta: prof. MUDr. Michal Michal ; Chirurgická klinika FN a LF UK v Plzni, přednosta: prof. MUDr. Vladislav Třeška, DrSc.
Published in the journal: Rozhl. Chir., 2011, roč. 90, č. 9, s. 519-522.
Category: Monotematický speciál - Původní práce

Summary

Acute appendicitis is the commonest cause of acute abdomen. Early indication for surgery – appendectomy, plays the key role in its therapy. The rate of incisional hernias (of all operated hernias) is high and they are, to a certain extent, caused by technical, mechanical factors and the patient himself.

The authors present a case review of a female patient, presenting with atypical urgent abdomen, who was hospitalized with a diagnosis of advanced absces of the abdominal wall, resp. strangulated incisional hernia. Surgical revision confirmed that the condition was caused by perforated gangrenous appendicitis incisional hernia following laparoscopy.

Acute appendicits is a very rare complication of the incisional hernia, and it is practically impossible to make its diagnosis based on clinical examination. Its diagnosis may be facilitated using visualization examination methods, however, its final diagnosis can only be made during surgical revision indicated for progressing acute abdomen.

Key words:
acute appendicitis – incisional hernia – Amyandęs hernia – abdominal wall cellulitis – acute abdomen

Zdroje

1. Laermans, S., Aerts, P., De Man, R. Amyand‘s hernia: inguinal hernia with acute appendicitis. JBR-BTR, 2007, 90: 524–525.

2. Milanchi, S., Allins, A. D. Amyand‘s hernia: history, imaging, and management. Hernia, 2008, Jun; 12(3): 321–322.

3. Velimezis, G., Kapogiannatos, G., Georgiou, J., Perrakis, E., Patrikakos, V., Perrakis, A. Vermiform Appendix Inside A Hernia: Our Experience. The Internet Journal of Surgery, 2011; 26(2).

4. House, M. G., Goldin, S. B., Chen, H. Perforated Amyand‘s Hernia. South. Med. J., 2001; 94(5).

5. Hidalgo, M. P., Ferrero, E. H., Ortiz, M. A., Castillo, J. M., Hidalgo, A. G. Incisional hernia in patients at risk: can it be prevented? Hernia, 2011, Feb, 12.

6. http://www.medindia.net/surgicalprocedures/Incisional-Hernia.htm

7. Hutchinson, R. Amyand‘s hernia. J. R. Soc. Med., 1993, February; 86(2): 104–105.

8. Horgan, P. G., Donoghue, J. O., Courtney, D. Perforated Appendicitis in an incisional Hernia. Irish Journal of Medical Science, 1991, Nov; 160(11): 350–351.

9. Al-Hadithy, N., Erotocritou, P., Portou, M. J., Hamilton, H. Appendicitis in an incisional hernia after radical nephrectomy: a case report. Ann. R. Coll. Surg. Engl., 2010, Sep; 92(6): W23–24.

10. 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, January; 179(1): 24–26.

11. Reinke, C. E., Resnick, A. S. Incarcerated Appendix in a Spigelian Hernia. JSCR, 2010, 12: 3.

12. Thomasset, S. C., Villatoro, E., Wood, S., Martin, A., Finlay, K., Patterson, J. E. An unusual Spigelian hernia involving the appendix: a case report. Cases J., 2010; 3: 22.

13. Meinke, A. K. Review article: appendicitis in groin hernias. J. Gastrointest. Surg., 2007, Oct; 11(10): 1368–1372.