Totally Laparoscopic Repair of an Acutely Inflammed Amyand’s Hernia

AUTHORS

Omar Khan 1 , * , Stuart McInnes 1 , Amjad Parvaiz 1

1 Department of Surgery, Queen Alexandra Hospital, Portsmouth, UK

How to Cite: Khan O, McInnes S, Parvaiz A. Totally Laparoscopic Repair of an Acutely Inflammed Amyand’s Hernia, J Minim Invasive Surg Sci. 2013 ; 2(3):e93786.

ARTICLE INFORMATION

Journal of Minimally Invasive Surgical Sciences: 2 (3); e93786
Published Online: August 30, 2013
Article Type: Case Report
Received: May 15, 2019
Accepted: July 28, 2012

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Abstract

Introduction: Amyand’s hernia – the presence of appendix within an inguinal hernia sac poses a diagnostic and therapeutic challenge in the acute setting.

Case Presentation: We report the case of a female patient on long-term corticosteroid therapy that was found at laparoscopy to have an inflamed appendix incarcerated within a right inguinal hernia. A 62-year-old Caucasian female presented with a short history of sudden-onset pain in the right groin. Her past medical history included polymyalgia rheumatic for which she had been treated over the past 4 years with oral prednisolone. The studied case was successfully treated through laparoscopic appendectomy and laparoscopic suturing of the deep inguinal ring.

Discussion: This totally laparoscopic approach may be of use in cases where definitive treatment with mesh cannot be undertaken and the avoidance of large wounds is desirable.

Keywords

Hernia Appendicitis Laparoscopy

© 2013, Journal of Minimally Invasive Surgical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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