Preoperative diagnosis of Amyand’s hernia: About 3 cases
Journal Title: The Journal of Medical Research - Year 2017, Vol 3, Issue 5
Abstract
The Amyand’s hernia, presence of a vermiform appendix in inguinal hernia sac, represents about 0.13% of all acute appendicitis and 1% of all inguinal hernias. Although described more than 250 years ago, his preoperative diagnosis remains exceptional. We report 3 clinical cases of Amyand’s hernia, including a case of right inguinal hernia not strangled and two cases of right inguinal hernia strangled (1 case of recurrent right inguinal hernia strangulated and 1 case of appendicular peritonitis complicating strangulated hernia). An abdominopelvic CT-scan performed in 2 cases /3 allowed the diagnosis to be made. No imaging was performed in the case of recurrent inguinal hernia right strangled; In this case, Amyand’s hernia diagnosis was accidentally madeintraoperatively. Laparoscopy localized the vermiform appendix in the hernia sac in the case of appendicular peritonitis complicating strangulated hernia. The 3 patients underwent surgery and the postoperative course was uneventful. Laparoscopy orimaging, especially CT-scanmakes preoperative diagnosis.
Authors and Affiliations
Kossi Cyprien Vignon, Alexis Mupepe Kumba, Habib N'domè Natta N'tcha, Setondji Gilles Roger Attolou, Mahougnon Roméo Eloge Onzo, Delphinkuassi Mehinto, Laurent Dugue
Keywords
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- EP ID EP442688
- DOI 10.31254/jmr.2017.3505
- Views 116
- Downloads 0
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