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Case Reports
. 2021 Feb 9;16(4):911-915.
doi: 10.1016/j.radcr.2021.01.057. eCollection 2021 Apr.

Amyand's hernia: presumptive diagnosis by CT and literature review

Georgia Fezoulidi  1 , Vasiliki Argyrouli  2 , Evaggelos Adamopoulos  3 , Konstantinos G Makridis  4 , Stamatina-Emmanouela Zourntou  5 , Ioannis V Fezoulidis  2   6
Affiliations
Case Reports

Amyand's hernia: presumptive diagnosis by CT and literature review

Georgia Fezoulidi et al. Radiol Case Rep. .

Abstract

Amyand's hernia is a rare inguinal hernia containing the appendix presenting mainly in male adults. The clinical presentation is usually without symptoms, however an inflammation can occur leading to strangulation, necrosis or rupture of the appendix. Differential diagnosis may be difficult including orchitis, testicular torsion, inflammation of the ovaries and bowel inflammation. We present a case of a 61 years old, male patient who was presented with persistent right abdominal pain. There was no medical history of previous hospitalization or surgery of the abdomen. Laboratory tests and radiological investigation with plain radiographs and ultrasound were not clear. A CT scan with contrast imaging was performed to reveal the diagnosis. Amyand's hernia is difficult to be revealed and a high index of suspicion is needed in order to promptly diagnose the hernia and proceed to the appropriate treatment. CT scan is critical contributing to the accurate depiction and to the classification of the hernia.

Keywords: Amyand's hernia; Appendix; Computed Tomography; Inguinal hernia.

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Figures

Fig 1
Fig. 1
A. Coronal MPR and B. Coronal 3D shows the normal appendix within the right inguinal hernia.
Fig 2
Fig. 2
MDCT of the abdomen – MPR: At the axial plane (A) At the left side the normal spermatic cord (asterisk) is seen inside the inguinal canal (arrow). At the right side the appendix (open arrow) is seen filled with p.o. contract agent (684,5 HU) inside the inguinal canal (arrow).
Fig 3
Fig. 3
MDCT of the abdomen – MPR: At the sagittal plane (B) the appendix filled with p.o. contrast medium (open arrow) is seen inside the inguinal canal (arrow).
See this image and copyright information in PMC

References

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