Hernia Containing Appendix

De garengeot s hernias are similar.

Hernia containing appendix. The treatment of amyand x2019 s hernia and de garengeot x2019 s hernia is not. The condition is an eponymous disease named after a french surgeon claudius amyand 1660 1740 who performed the first successful appendectomy in 1735. Amyand s hernia nejm. An amyand s hernia is an inguinal hernia that contains vermiform appendix.

Claudius amyand 1660 1740 a french surgeon working at st george s and westminster hospitals in london performed the first successful appendectomy in 1735 on an 11 year old boy who presented with an inflamed perforated appendix in his inguinal hernia sac. Ct scan showing spigelian hernia containing the appendix arrow. They may be present in infants but can develop in adults also. Appendix containing femoral and inguinal hernias possess eponyms de garengeot and amyand respectively.

Most of the cases are diagnosed intraoperatively and a. Amyand hernia classification is an inguinal hernia containing vermiform appendix. If the contents of the hernia become trapped in the weak point in the abdominal wall it can obstruct the bowel leading to severe pain nausea vomiting and the inability to have a bowel movement or pass gas. Amyand hernia is a rare form of an inguinal hernia in which the vermiform appendix is located within the hernial sac.

The patient was listed for elective surgery which was performed by the authors lfs and le. Herein we present the 11th case report of appendicitis. It should not be confused with an appendix containing femoral hernia known as de garengeot hernia. Inguinal hernias account for 75 of all hernias and are five times more common in males than females.

Femoral hernia this is a hernia through the passage that contains the large blood vessels the femoral artery and vein between the abdomen and the thigh. Amyand s hernia is a rare form of an inguinal hernia less than 1 of inguinal hernias which occurs when the appendix is included in the hernial sac and becomes incarcerated. Duraker and colleagues reported an evisceration of the vermiform appendix which was attached to a sidehole of a drainage 4. At the operation an oblique incision was made and after opening the skin and subcutaneous a bulge just below the fascia of the external oblique was noticed fig.

An inguinal hernia containing appendix refers to the presence of an appendix within an inguinal hernia sac. There are 10 available case reports describing umbilical hernia containing appendicitis. In men large hernias can extend into the scrotum causing pain and swelling. We report a case of this rare condition diagnostic findings and management.

Both types of hernia are rare and those hernias associated with appendicitis perforation or abscess are even scarcer presentations. It is seen in less than 1 of inguinal hernia. However in this case the appendix is within a femoral hernia. Only three case reports could be retrieved in a medline search one of them describing an evisceration.

This uncommon finding occurs in less than 1 of.