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Case Reports
. 2007 Aug 24;1(1):65-70.
doi: 10.1159/000107472.

Amyand's Hernia - Case Report and Review of the Literature

Ching-Ming Kwok  1 , Cheng-Hsi Su, Wei-Kang Kwang, Yi-Chou Chiu
Affiliations
Case Reports

Amyand's Hernia - Case Report and Review of the Literature

Ching-Ming Kwok et al. Case Rep Gastroenterol. .

Abstract

Amyand's hernia is an extremely rare condition in which the appendix is positioned in the inguinal hernia sac. Acute appendicitis is much less common in this situation and few reports are found in the literature. We report a case of acute appendicitis with the tip of the appendix incarcerated outside the external ring of the right groin. A mobilized cecum and ascending colon were noticed during surgery. We conducted a review of the literature, emphasizing possible causes and suggesting a predisposing factor for the condition.

Keywords: Acute appendicitis; Amyand's hernia; Inguinal hernia.

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Figures

Fig. 1
Fig. 1
The appendix found completely in the right inguinal hernia sac (post herniotomy).
Fig. 2
Fig. 2
Distal appendicitis with healthy base. The distal portion of the appendix was tightened over by the external ring, leaving a mark on the vermiform organ.
Fig. 3
Fig. 3
Pathology. Mixed inflamed cells with eosinophil predominant in the appendiceal wall. HE stain. 100×.
See this image and copyright information in PMC

References

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    1. 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.
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    1. Salemis NS, et al. Perforated appendix and periappendicular abscess within an inguinal hernia. Hernia. 2007;10:528–530. - PubMed
    1. Ryan WJ. Hernia of the vermiform appendix. Ann Surg. 1937;106:135–139. - PubMed

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