Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2015; 7(3): 47-51
Published online Mar 27, 2015. doi: 10.4240/wjgs.v7.i3.47
Incarcerated amyand hernia
Fatih Ciftci, Ibrahim Abdulrahman
Fatih Ciftci, Ibrahim Abdulrahman, Department of Surgery, Safa Hospital, Istanbul Gelisim University, 34203 Istanbul, Turkey
Author contributions: Ciftci F and Abdulrahman I designed, organized and wrote the report and were attending doctors for the patients; Ciftci F performed surgical operations; all authors read and approved the final manuscript.
Ethics approval: The study was reviewed and approved by the Safa Hospital Institutional Review Board.
Informed consent: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest: Non declareted. Ciftci F and Adulrahman I haven’t received fees for serving as a speaker, any of organizations. Ciftci F and Abdulrahman I haven’t received research funding from any of organizations. Ciftci F and Abdulrahman I aren’t employee of any of organisations.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Fatih Ciftci, MD, FICS, FACS, Department of Surgery, Safa Hospital, Istanbul Gelisim University, Yıldıztepe Mah., Bagcilar Cad., No: 108, 34203 Istanbul, Turkey. oprdrfatihciftci@gmail.com
Telephone: +90-505-6164248 Fax: +90-212-4627056
Received: July 14, 2014
Peer-review started: July 14, 2014
First decision: August 14, 2014
Revised: January 20, 2015
Accepted: January 30, 2015
Article in press: February 2, 2015
Published online: March 27, 2015
Processing time: 260 Days and 14 Hours
Abstract

Amyand’s hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative diagnosis difficult. In this study, we present two cases of Amyand’s hernia that were diagnosed preoperatively. The patients were taken for operation with the prediagnosis of ıncarcerated inguinal hernia. We evaluated these cases along with data from prior studies.

Keywords: Incarcerated hernia; Appendectomy; Amyand

Core tip: Amyand’s hernia is a seldom surgical pathology whereby there is inclusion of the appendix vermiformis within the groin hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical presentation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative identification difficult. Owing to the rarity of the condition there is yet no general consensus pertaining the diagnosis and management approach. Arguments continue as to whether to do or not appendectomy and where to employ a mesh during operation. In this paper we share our experience in the diagnosis and treatment of this rare condition by presenting two cases of Amyand’s hernia one having acute appendicitis and the other gangraneous appendicitis.