Murat Burc Yazıcıoglu, Yavuz Yavas, Coskun Polat
CaseRepClinPractRev 2007; 8:321-323
Background: The fi nding of the vermiform appendix lying within an inguinal hernia is called as “Amyand’s hernia”. The incidence of this entity is approximately one percent of cases of inguinal hernia. Preoperative computed tomography (CT) of the abdomen may be helpful for making a correct diagnosis, but it is most likely diagnosed during a surgical operation. We report a case with Amyand’s hernia and review the literature.
Case Report: A 54-year- old male visited our outpatient clinic with a swelling and pain in his right groin. Surgical operation was planned with the preoperative diagnosis of right indirect inguinal hernia. After then hernia sac was identifi ed and isolated all around. On opening the hernial sac, the appendix was found to be lying within. Neither adhesions nor infl amation were found. So, we didn’t remove appendix. Instead, we repaired hernia with tension-free hernioplasty after reducing the appendix into the abdominal cavity. After the operation we used neither antibiotic nor wound drainage.
Conclusions: Amyand’s hernia is a rare entity which is hard to diagnose preoperatively. Mostly diagnosis can only be made during the operation. Treatment involves appendoctomy through the herniotomy with hernia repair. However, the approach to Amyand’s henia involving a nonifl amed appendix is still controversial.
Keywords: Amyand’s hernia, appendicitis, Computed tomography