Amyand’s Hernia Mimicking Acute Scrotum

Amyands Hernia: An Unexpected Finding during Inguinal Hernia Repair

Herniorrhaphy, which is the surgical repair of a hernia, is one of the commonest procedures performed by general surgeons, with over 40,000 hernia operations performed annually in Australia. Approximately 75 percent of abdominal hernias are inguinal and these may contain omentum, bowel and rarely the appendix. The presence of the vermiform appendix, whether inflamed or not, inside the hernia sa...

Amyand's hernia with scrotal abscess presenting as acute scrotum.

Amyand's hernia is a rare form of inguinal hernia in which an inflamed appendix is incarcerated in a hernial sac. The clinical presentation of Amyand's hernia varies, depending on the extent of inflammation involved in the hernial sac and the presence or absence of a scrotal abscess. If a scrotal abscess is present, this usually indicates that the appendix in the hernial sac is perforated. Howe...

Cholesterol granuloma of the right epididymis mimicking an acute scrotum.

Scrotum Hernia with Large Volume of Ascites

Ascitic hernia is still a thorny task but sometimes it may severely influence patients to live a simple but quality or functional life. Herein, we discuss regarding a 37-year-old man with a basketball like indirect inguinal ascitic hernia who was bedridden due to large volume of cirrhotic ascites. All conservative therapies seemed to be only little efficient, only surgery could save him. Based ...

Atypical incarcerated abdominal wall hernia mimicking acute diverticulitis.

An 89-year-old female presented with typical symptoms of acute diverticulitis. Abdominal CT revealed an abdominal wall hernia with signs of acute incarceration in the lateral part of the transverse abdominis muscle and rupture of the transversalis fascia. The findings were confirmed intraoperatively. The present case underlines the diagnostic importance of abdominal CT, especially in patients w...