827 Acute Appendicitis in An Amyand Hernia – A Case Report and Literature Review

نویسندگان

چکیده

Abstract Introduction An Amyand Hernia (AH) is the presence of an Appendix within Inguinal Hernia. We present here our clinical management acute appendicitis in AH and subsequent literature review. A 73-year-old male patient presented with a two-day history right sided irreducible inguinoscrotal hernia tender swelling on standing walking. This was not associated symptoms bowel obstruction or fevers. Blood investigations revealed raised C-Reactive Protein 129m/l White Cell Count 15x10^9/L. Computed Tomography scan Abdomen Pelvis arising lateral to inferior epigastric vessels, containing inflamed appendix omental fat. The underwent emergency open repair mesh and, considering that base intra-abdominal, also laparoscopic appendicectomy. Method conducted review Pubmed Medline using MeSH terms ‘Amyand Hernia’ AND ‘Appendicitis’ from 1970 2020. Results longlisted 179 articles. Of these, 117 were excluded, as they either paediatric cases, relevant mentioned discussions. Finally, 62 articles included Conclusions Acute Appendicitis Hernias has incidence 0.07-0.13%. Most cases remain incidental findings however, increased use imaging techniques allowed accurate diagnoses attempts at classifications. There weak association Situs Inversus atypical appendiceal tumours including adenocarcinoma, carcinoid neuroendocrine tumour. Their varies according extent inflammation, radiological intra-operative findings.

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2021

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znab259.589