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2016 ; 29
(ä): 215-218
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A complicated case of amyand s hernia involving a perforated appendix and its
management using minimally invasive laparoscopic surgery: A case report
#MMPMID27880929
Al-Ramli W
; Khodear Y
; Aremu M
; El-Sayed AB
Int J Surg Case Rep
2016[]; 29
(ä): 215-218
PMID27880929
show ga
INTRODUCTION: Amyand's hernia is a rare condition of inguinal hernia in which the
appendix is incarcerated within the hernia sac through the internal ring.
Complications include acute appendicitis and perforated appendicitis, which are
rare in incidence, accounting for about 0.1% of cases.(1) These complications
prove a diagnostic challenge due to their vague clinical presentation and
atypical laboratory and radiological findings. Until recently, open appendectomy
was the mainstay of treatment. Laparoscopic surgery offers a less invasive
approach to confirming a diagnosis and serving as a therapeutic tool in equivocal
cases. CASE PRESENTATION: We report a case of a previously healthy 20-year-old
male presenting with atypical signs and symptoms, as well as blood investigation
results, and radiological findings of a perforated appendix within an Amyand's
hernia. The patient was successfully managed using a minimally invasive
laparoscopic appendectomy approach. DISCUSSION: Until recently, open appendectomy
was considered the mainstay in the management of complicated Amyand's hernia.
Laparoscopic surgery provides a new avenue for dealing with diagnostic
uncertainty with advantages including faster recovery time, reduced hospital
stay, and better quality of life. CONCLUSION: This case report highlights the
concealing effects of an Amyand's hernia on a perforated appendix, the
considerations required when an equivocal diagnosis present and the safe use of
the minimally invasive laparoscopic surgery in the treatment of this rare
condition.