Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report
Abstract Introduction Amyand’s hernia, an uncommon condition characterized by the presence of the appendix within an inguinal hernial sac (< 1% incidence), poses diagnostic and therapeutic challenges. Often it is an intraoperative finding, with almost no clinical symptoms. Case presentation This...
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| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-024-05015-y |
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| author | Vasishtha Avadhani Upadrasta Avinash Koul Vikrant Singh Chauhan |
| author_facet | Vasishtha Avadhani Upadrasta Avinash Koul Vikrant Singh Chauhan |
| author_sort | Vasishtha Avadhani Upadrasta |
| collection | DOAJ |
| description | Abstract Introduction Amyand’s hernia, an uncommon condition characterized by the presence of the appendix within an inguinal hernial sac (< 1% incidence), poses diagnostic and therapeutic challenges. Often it is an intraoperative finding, with almost no clinical symptoms. Case presentation This is a case of an Indian male in his early 80 years, diagnosed with bilateral direct inguinal hernias, one of which contained a noninflamed appendix. Given the thinned out abdominal wall, dense adhesions, and no demarcation between layers, the decision to proceed with a modified Bassini’s with Lichtenstein mesh repair without appendectomy, guided by intraoperative findings and the Losanoff–Basson Classification, reflecting the complex interplay between individual patient factors and intraoperative considerations. The patient did well during his postoperative stay and was in good health on a 45 day follow-up, with no complaints suggestive of recurrence or obstruction. Conclusion This case underscores the importance of tailored management strategies and highlights, especially in cases where recurrence and postoperative wall integrity are in question, the ongoing need for research to refine treatment guidelines for Amyand's hernia, especially in cases of appendicitis not diagnosed preoperatively. |
| format | Article |
| id | doaj-art-85d36b0f5702461fad5c6b4e326798db |
| institution | Kabale University |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-85d36b0f5702461fad5c6b4e326798db2025-01-19T12:25:10ZengBMCJournal of Medical Case Reports1752-19472025-01-011911510.1186/s13256-024-05015-yUncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case reportVasishtha Avadhani Upadrasta0Avinash Koul1Vikrant Singh Chauhan2Dept. of General Surgery, Fortis HospitalDept. of General Surgery, Fortis HospitalDept. of General Surgery, Fortis HospitalAbstract Introduction Amyand’s hernia, an uncommon condition characterized by the presence of the appendix within an inguinal hernial sac (< 1% incidence), poses diagnostic and therapeutic challenges. Often it is an intraoperative finding, with almost no clinical symptoms. Case presentation This is a case of an Indian male in his early 80 years, diagnosed with bilateral direct inguinal hernias, one of which contained a noninflamed appendix. Given the thinned out abdominal wall, dense adhesions, and no demarcation between layers, the decision to proceed with a modified Bassini’s with Lichtenstein mesh repair without appendectomy, guided by intraoperative findings and the Losanoff–Basson Classification, reflecting the complex interplay between individual patient factors and intraoperative considerations. The patient did well during his postoperative stay and was in good health on a 45 day follow-up, with no complaints suggestive of recurrence or obstruction. Conclusion This case underscores the importance of tailored management strategies and highlights, especially in cases where recurrence and postoperative wall integrity are in question, the ongoing need for research to refine treatment guidelines for Amyand's hernia, especially in cases of appendicitis not diagnosed preoperatively.https://doi.org/10.1186/s13256-024-05015-yAmyand’s herniaAppendixHernia repairPantaloon herniaPosterior wall deficiency |
| spellingShingle | Vasishtha Avadhani Upadrasta Avinash Koul Vikrant Singh Chauhan Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report Journal of Medical Case Reports Amyand’s hernia Appendix Hernia repair Pantaloon hernia Posterior wall deficiency |
| title | Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report |
| title_full | Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report |
| title_fullStr | Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report |
| title_full_unstemmed | Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report |
| title_short | Uncomplicated Amyand’s hernia in a setting of abdominal wall insufficiency: a case report |
| title_sort | uncomplicated amyand s hernia in a setting of abdominal wall insufficiency a case report |
| topic | Amyand’s hernia Appendix Hernia repair Pantaloon hernia Posterior wall deficiency |
| url | https://doi.org/10.1186/s13256-024-05015-y |
| work_keys_str_mv | AT vasishthaavadhaniupadrasta uncomplicatedamyandsherniainasettingofabdominalwallinsufficiencyacasereport AT avinashkoul uncomplicatedamyandsherniainasettingofabdominalwallinsufficiencyacasereport AT vikrantsinghchauhan uncomplicatedamyandsherniainasettingofabdominalwallinsufficiencyacasereport |