Amyand's hernia concurrent with appendicitis: A literature review

Shreya Tenpe; Gaurav Mude; Kuntal Godde; Nisha Barole

doi:10.31893/multirev.2024228

Keywords:

Abstract

When the vermiform appendix is inside the hernia sac, an uncommon kind of inguinal hernia known as Amyand's hernia (AH) occurs. Typically, an unintentional discovery discovered during surgery serves as the basis for the diagnosis. Only a tiny percentage of patients with inguinal hernias have AH, and even fewer experience problems with acute ischemia. The referral to general surgical services was due to an inguinal tumor located in the right lower quadrant of our 65-year-old male patient. There may be consequences from ischemia because this was not touch-sensitive. The appendix was removed by open hernioplasty. Treatment for type 1 AH, which this patient has, consists of mesh repair and hernial reduction. Despite not having acute appendicitis, our patient needed an appendectomy due to anatomical variation in their AH, which raised the possibility of hernial incarceration. Because of its size and adhesions inside the hernia, this treatment was also thought to be essential for preventing the recurrence of the hernia. This paper introduces a new method for handling the accidental finding of a type 1 AH. There are few treatment suggestions available for anatomic variations of the AH. The physical characteristics of AH may be included to overcome the drawbacks of the traditional Losanoff and Basson's AH classification methods for AH management and categorization. By using this method. Amyand's hernia occurs when a vermiform appendix is discovered inside an inguinal hernia sac. The objectives of this comprehensive investigation were to gather information on its occurrence, clinical picture, diagnosis, and treatment course.
References
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3. Ash, L., Hatem, S., Ramirez, G. A. M., & Veniero, J. (2005). Amyand’s hernia: A case report of prospective ct diagnosis in the emergency department. Emergency Radiology, 11(4), 231–232. https://doi.org/10.1007/s10140-005-0411-6
4. Baldassarre, E., Centonze, A., Mazzei, A., & Rubino, R. (2009). Amyand’s hernia in premature twins. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 13(2), 229–230. https://doi.org/10.1007/s10029-008-0427-4
5. Brainwood, M., Beirne, G., & Fenech, M. (2020). Persistence of the processus vaginalis and its related disorders. Australasian Journal of Ultrasound in Medicine, 23(1), 22–29.
6. D’Alia, C., Lo Schiavo, M. G., Tonante, A., Taranto, F., Gagliano, E., Bonanno, L., Di Giuseppe, G., Pagano, D., & Sturniolo, G. (2003). Amyand’s hernia: Case report and review of the literature. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 7(2), 89–91. https://doi.org/10.1007/s10029-002-0098-5
7. Diego Alonso, E., Ayuso Velasco, R., Cebrián Muiños, C., Moreno Zegarra, C., & Liras Muñoz, J. (2020). Left Amyand’s hernia associated with omphalocele. Cirugia Pediatrica: Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, 33(3), 143–145.
8. Fernando, J., & Leelaratna, S. (2002). Amyand’s hernia. The Ceylon Medical Journal, 47(2), 71.
9. Häuser, U., & Merkle, P. (1984). [Differential diagnosis of incarcerated inguinal hernia in an infant: Appendicitis in the hernial sac]. Zeitschrift Fur Kinderchirurgie: Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie. Surgery in Infancy and Childhood, 39(1), 72–73. https://doi.org/10.1055/s-2008-1044176
10. HerniaSurge Group. (2018). International guidelines for groin hernia management. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 22(1), 1–165. https://doi.org/10.1007/s10029-017-1668-x
11. Hutchinson, R. (1993). Amyand’s hernia. Journal of the Royal Society of Medicine, 86(2), 104–105.
12. Inan, I., Myers, P. O., Hagen, M. E., Gonzalez, M., & Morel, P. (2009). Amyand’s hernia: 10 years’ experience. The Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 7(4), 198–202. https://doi.org/10.1016/s1479-666x(09)80084-x
13. Kingsnorth, A., & LeBlanc, K. (2003). Hernias: Inguinal and incisional. Lancet (London, England), 362(9395), 1561–1571. https://doi.org/10.1016/S0140-6736(03)14746-0
14. Losanoff, J. E., & Basson, M. D. (2007). Amyand hernia: What lies beneath--a proposed classification scheme to determine management. The American Surgeon, 73(12), 1288–1290.
15. Losanoff, J. E., & Basson, M. D. (2008). Amyand hernia: A classification to improve management. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 12(3), 325–326. https://doi.org/10.1007/s10029-008-0331-y
16. Lyass, S., Kim, A., & Bauer, J. (1997). Perforated appendicitis within an inguinal hernia: Case report and review of the literature. The American Journal of Gastroenterology, 92(4), 700–702.
17. Murphy, K. P., O’Connor, O. J., & Maher, M. M. (2014). Adult abdominal hernias. AJR. American Journal of Roentgenology, 202(6), W506-511. https://doi.org/10.2214/AJR.13.12071
18. Okur, M. H., Karaçay, S., Uygun, I., Topçu, K., & Öztürk, H. (2013). Amyand’s hernias in childhood (a report on 21 patients): A single-centre experience. Pediatric Surgery International, 29(6), 571–574. https://doi.org/10.1007/s00383-013-3274-z
19. Patoulias, D., Kalogirou, M., & Patoulias, I. (2017). Amyand’s Hernia: An Up-to-Date Review of the Literature. Acta Medica (Hradec Kralove), 60(3), 131–134. https://doi.org/10.14712/18059694.2018.7
20. Robinson, M. B. (2011). Amyand Hernia Diagnosed With Sonography: A Case Study. Journal of Diagnostic Medical Sonography, 27(6), 279–282. https://doi.org/10.1177/8756479311424433
21. Ryan, W. J. (1937). Hernia of the vermiform appendix. Annals of Surgery, 106(1), 135–138.
22. Sarker, S. K., & Jackson, K. (2006). Laparoscopic extraperitoneal repair of Amyand’s inguinal hernia. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 10(4), 528–530.
23. Shaban, Y., Elkbuli, A., McKenney, M., & Boneva, D. (2018). Amyand’s hernia: A case report and review of the literature. International Journal of Surgery Case Reports, 47, 92–96.
24. Sharma, H., Gupta, A., Shekhawat, N. S., Memon, B., & Memon, M. A. (2007a). Amyand’s hernia: A report of 18 consecutive patients over a 15-year period. Hernia, 11, 31–35.
25. Sharma, H., Gupta, A., Shekhawat, N. S., Memon, B., & Memon, M. A. (2007b). Amyand’s hernia: A report of 18 consecutive patients over a 15-year period. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 11(1), 31–35. https://doi.org/10.1007/s10029-006-0153-8
26. Singhal, S., Singhal, A., Negi, S. S., Tugnait, R., Arora, P. K., Tiwari, B., Malik, P., Gupta, L., Bimal, A., Gupta, A., Gupta, R., Chouhan, P., & Singh, C. (2015). Amyand’s Hernia: Rare Presentation of a Common Ailment. Case Reports in Gastrointestinal Medicine, 2015, 629127. https://doi.org/10.1155/2015/629127
27. Solecki, R., Matyja, A., & Milanowski, W. (2003). Amyand’s hernia: A report of two cases. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 7(1), 50–51. https://doi.org/10.1007/s10029-002-0093-x
28. Vermillion, J. M., Abernathy, S. W., & Snyder, S. K. (1999). Laparoscopic reduction of Amyand’s hernia. Hernia, 3, 159–160.
29. VIII. Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. (1735). Philosophical Transactions of the Royal Society of London, 39(443), 329–342. https://doi.org/10.1098/rstl.1735.0071

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How to cite

Tenpe, S., Mude, G., Godde, K., & Barole, N. (2024). Amyand’s hernia concurrent with appendicitis: A literature review. Multidisciplinary Reviews, 7(10), 2024228. https://doi.org/10.31893/multirev.2024228

[1] Aguirre, D. A., Santosa, A. C., Casola, G., & Sirlin, C. B. (2005). Abdominal wall hernias: Imaging features, complications, and diagnostic pitfalls at multi-detector row CT. Radiographics: A Review Publication of the Radiological Society of North America, Inc, 25(6), 1501–1520. https://doi.org/10.1148/rg.256055018

[2] Anagnostopoulou, S., Dimitroulis, D., Troupis, T. G., Allamani, M., Paraschos, A., Mazarakis, A., Nikiteas, N. I., & Kostakis, A. (2006). Amyand’s hernia: A case report. World Journal of Gastroenterology: WJG, 12(29), 4761.

[3] Ash, L., Hatem, S., Ramirez, G. A. M., & Veniero, J. (2005). Amyand’s hernia: A case report of prospective ct diagnosis in the emergency department. Emergency Radiology, 11(4), 231–232. https://doi.org/10.1007/s10140-005-0411-6

[4] Baldassarre, E., Centonze, A., Mazzei, A., & Rubino, R. (2009). Amyand’s hernia in premature twins. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 13(2), 229–230. https://doi.org/10.1007/s10029-008-0427-4

[5] Brainwood, M., Beirne, G., & Fenech, M. (2020). Persistence of the processus vaginalis and its related disorders. Australasian Journal of Ultrasound in Medicine, 23(1), 22–29.

[6] D’Alia, C., Lo Schiavo, M. G., Tonante, A., Taranto, F., Gagliano, E., Bonanno, L., Di Giuseppe, G., Pagano, D., & Sturniolo, G. (2003). Amyand’s hernia: Case report and review of the literature. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 7(2), 89–91. https://doi.org/10.1007/s10029-002-0098-5

[7] Diego Alonso, E., Ayuso Velasco, R., Cebrián Muiños, C., Moreno Zegarra, C., & Liras Muñoz, J. (2020). Left Amyand’s hernia associated with omphalocele. Cirugia Pediatrica: Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica, 33(3), 143–145.

[8] Fernando, J., & Leelaratna, S. (2002). Amyand’s hernia. The Ceylon Medical Journal, 47(2), 71.

[9] Häuser, U., & Merkle, P. (1984). [Differential diagnosis of incarcerated inguinal hernia in an infant: Appendicitis in the hernial sac]. Zeitschrift Fur Kinderchirurgie: Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie. Surgery in Infancy and Childhood, 39(1), 72–73. https://doi.org/10.1055/s-2008-1044176

[10] HerniaSurge Group. (2018). International guidelines for groin hernia management. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 22(1), 1–165. https://doi.org/10.1007/s10029-017-1668-x

[11] Hutchinson, R. (1993). Amyand’s hernia. Journal of the Royal Society of Medicine, 86(2), 104–105.

[12] Inan, I., Myers, P. O., Hagen, M. E., Gonzalez, M., & Morel, P. (2009). Amyand’s hernia: 10 years’ experience. The Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 7(4), 198–202. https://doi.org/10.1016/s1479-666x(09)80084-x

[13] Kingsnorth, A., & LeBlanc, K. (2003). Hernias: Inguinal and incisional. Lancet (London, England), 362(9395), 1561–1571. https://doi.org/10.1016/S0140-6736(03)14746-0

[14] Losanoff, J. E., & Basson, M. D. (2007). Amyand hernia: What lies beneath--a proposed classification scheme to determine management. The American Surgeon, 73(12), 1288–1290.

[15] Losanoff, J. E., & Basson, M. D. (2008). Amyand hernia: A classification to improve management. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 12(3), 325–326. https://doi.org/10.1007/s10029-008-0331-y

[16] Lyass, S., Kim, A., & Bauer, J. (1997). Perforated appendicitis within an inguinal hernia: Case report and review of the literature. The American Journal of Gastroenterology, 92(4), 700–702.

[17] Murphy, K. P., O’Connor, O. J., & Maher, M. M. (2014). Adult abdominal hernias. AJR. American Journal of Roentgenology, 202(6), W506-511. https://doi.org/10.2214/AJR.13.12071

[18] Okur, M. H., Karaçay, S., Uygun, I., Topçu, K., & Öztürk, H. (2013). Amyand’s hernias in childhood (a report on 21 patients): A single-centre experience. Pediatric Surgery International, 29(6), 571–574. https://doi.org/10.1007/s00383-013-3274-z

[19] Patoulias, D., Kalogirou, M., & Patoulias, I. (2017). Amyand’s Hernia: An Up-to-Date Review of the Literature. Acta Medica (Hradec Kralove), 60(3), 131–134. https://doi.org/10.14712/18059694.2018.7

[20] Robinson, M. B. (2011). Amyand Hernia Diagnosed With Sonography: A Case Study. Journal of Diagnostic Medical Sonography, 27(6), 279–282. https://doi.org/10.1177/8756479311424433

[21] Ryan, W. J. (1937). Hernia of the vermiform appendix. Annals of Surgery, 106(1), 135–138.

[22] Sarker, S. K., & Jackson, K. (2006). Laparoscopic extraperitoneal repair of Amyand’s inguinal hernia. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 10(4), 528–530.

[23] Shaban, Y., Elkbuli, A., McKenney, M., & Boneva, D. (2018). Amyand’s hernia: A case report and review of the literature. International Journal of Surgery Case Reports, 47, 92–96.

[24] Sharma, H., Gupta, A., Shekhawat, N. S., Memon, B., & Memon, M. A. (2007a). Amyand’s hernia: A report of 18 consecutive patients over a 15-year period. Hernia, 11, 31–35.

[25] Sharma, H., Gupta, A., Shekhawat, N. S., Memon, B., & Memon, M. A. (2007b). Amyand’s hernia: A report of 18 consecutive patients over a 15-year period. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 11(1), 31–35. https://doi.org/10.1007/s10029-006-0153-8

[26] Singhal, S., Singhal, A., Negi, S. S., Tugnait, R., Arora, P. K., Tiwari, B., Malik, P., Gupta, L., Bimal, A., Gupta, A., Gupta, R., Chouhan, P., & Singh, C. (2015). Amyand’s Hernia: Rare Presentation of a Common Ailment. Case Reports in Gastrointestinal Medicine, 2015, 629127. https://doi.org/10.1155/2015/629127

[27] Solecki, R., Matyja, A., & Milanowski, W. (2003). Amyand’s hernia: A report of two cases. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 7(1), 50–51. https://doi.org/10.1007/s10029-002-0093-x

[28] Vermillion, J. M., Abernathy, S. W., & Snyder, S. K. (1999). Laparoscopic reduction of Amyand’s hernia. Hernia, 3, 159–160.

[29] VIII. Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. (1735). Philosophical Transactions of the Royal Society of London, 39(443), 329–342. https://doi.org/10.1098/rstl.1735.0071

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References

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