Abstract

PERAZA CASAJUS, J.M. et al. Amyand's hernia: description of one case with presurgical diagnosis. Sanid. Mil. [online]. 2011, vol.67, n.2, pp.98-99. ISSN 1887-8571.

Amyand's hernia is a rare form of inguinal hernia in which the content is the appendix. It is rare to find an inflamed appendix in the inguinal hernia sac and exceptional to perform a presurgical diagnosis, the number of cases described in the literature being small. The most frequent presentation form is as an incarcerated inguinal hernia. The diagnostic approach is based on the clinical suspicion together with imagery techniques, basically computerized tomography. The treatment depends on the intrasurgical findings, either appendix inflammation or abdominal sepsis indicating transherniotomy or laparotomic appendectomy, with inguinal herniorrhaphy or hernioplasty. We present one patient with an Amyand's hernia diagnosed prior to the surgery, with an inflamed retrocecal appendix, without evidence of hernia on clinical examination. A laparotomic appendectomy was carried out and in a second stage the hernia repair.

Keywords : Amyand hernia; Inguinal hernia; Appendicitis; Computed tomography.

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