Incarcerated Amyand's hernia
نویسندگان
چکیده
A 53-year-old female with a history of cholecystectomy presented with right lower quadrant abdominal pain for 2 days. She was afebrile with no loss of appetite or other gastrointestinal symptoms. Physical examination showed right lower quadrant abdominal tenderness with rebounding pain and hypoactive bowel sounds. Laboratory results showed no abnormalities and a normal white blood cell count (6250/μL) without a left shift (segmented neutrophils: 54.9%; band neutrophils: 0%). Abdominal computed tomography revealed a swollen appendix which herniated from the right side of Hesselbach’s triangle into the anterior abdominal wall [Figure 1]. An emergency laparoscopy showed an inflamed, unruptured appendix which incarcerated into the hernia sac [Figure 2]. A direct type inguinal hernia with incarcerated appendicitis was diagnosed. After the laparoscopic appendectomy and closing the peritoneum and fascia of the periumbilical incision site, the surgeon Incarcerated Amyand’s hernia
منابع مشابه
[Amyand's hernia: a report of two cases and review of the bibliography].
BACKGROUND Presence of the vermiform appendix in an inguinal hernia sac is an uncommon finding (1%), exceptionally rare if it's inflamed (0.13%). Clinically simulating incarcerated inguinal hernia and proper preoperative diagnosis is exceptional. We present two unusual cases of Amyand's hernia, and review of the bibliography. CLINICAL CASES 1. Male patient 78 year old with an incarcerated rig...
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