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- W2925820968 abstract "Claudius Amyand was the first to perform a successful appendicectomy in 1735 as well as describe an‘Amyand’s Hernia’. It is an uncommon condition, in which an inguinal hernia, a protrusion of abdominalcontents through the inguinal canal, contains an incarcerated vermiform appendix, irrespective of whetherit is inflamed or not. The reported incidence is less than 1.7% with histologically normal appendix and lessthan 0.1% having an inflamed or perforated appendix. We report a case of acute appendicitis after itsincarceration in the inguinal hernia and another case of Amyand’s hernia containing a healthy, non-inflamedappendix. Comorbidities, clinical presentation, investigations as well as surgical management are presented.One patient has provided us with a written consent for image disclosure. Both patients presented with signsand symptoms of incarcerated irreducible inguinal hernia. Contrast computer tomography (CT) was the onlymodality to diagnose the hernia sac contents preoperatively. A laparoscopic repair was performed on thefirst case (inflamed appendix) and an open repair was chosen for the second case (non-inflamed). Bothpatients had an uncomplicated and uneventful postoperative recovery.Amyand hernia is a rare entity with variable presentations; from a reducible inguinal hernia containing anormal appendix, to acute abdomen due to perforation of acute appendicitis secondary to incarceration.Only imaging can verify the contents of an incarcerated inguinal hernia and the approach varies upon thosefindings. It is generally accepted that surgical treatment involves hernia repair with or without concomitantappendicectomy" @default.
- W2925820968 created "2019-04-11" @default.
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- W2925820968 date "2019-04-03" @default.
- W2925820968 modified "2023-09-27" @default.
- W2925820968 title "Amyand's hernia: a mini review and two case reports" @default.
- W2925820968 doi "https://doi.org/10.31487/j.scr.2019.02.013" @default.
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