Hallazgo intraoperatorio de hernia de Amyand: reporte de caso y revisión de literatura.

Intraoperative finding of Amyand’s hernia: case report and literature review.

• Delia Buitrago Servicio de Cirugía General Hospital Sor Juana Inés de La Cruz, Mérida, Venezuela. https://orcid.org/0000-0001-8337-4080
• Susan Rojas-Rivas Centro Médico Quirúrgico Sinergia, Mérida, Venezuela. https://orcid.org/0000-0002-6544-2630
• Aguasanta González-Delatorre Universidad de Los Andes, Facultad de Medicina, Mérida, Venezuela. https://orcid.org/0000-0003-3871-2014
• Guillermo Terán-Angel Universidad de Los Andes, Facultad de Medicina, Mérida, Venezuela. https://orcid.org/0000-0002-2684-2308

DOI: https://doi.org/10.54817/IC.v64n2a08

Keywords: Amyand ́s hernia, hernioplasty, appendectomy, inguinal hernia, case report

Abstract

Amyand’s hernia is an inguinal hernia that contains the cecal appendix inside. It is a rare entity and its discovery is generally made intraoperatively. We present the case of a older male adult, with a soft tumor, with progressive increase in volume, in the right inguinal region accompanied by local pain, reducible at rest. During surgery, a hernial sac was found with an enlarged cecal appendix inside it, with signs of inflammation. An appendectomy was performed. The hernia sac was reintroduced and the posterior wall of the inguinal canal was repaired (Lichtenstein and Bassini mixed technique). Postoperative evolution was satisfactory.

References

Manatakis DK, Tasis N, Antonopoulou MI, Anagnostopoulos P, Acheimastos V, Papageorgiou D, Fradelos E, Zoulamoglou M, Agalianos C, Tsiaoussis J, Xynos E. Revisiting Amyand’s Hernia: A 20-year systematic review. World J Surg. 2021;45(6):1763-70. DOI: 10.1007/s00268-021-05983-y


Desai G, Suhani, Pande P, Thomas S. Amyand’s hernia: Our eperience and review of literature. Arq Bras Cir Dig 2017;30(4):287-8. DOI: 10.1590/0102-6720201700040014.

Jaramillo Y, Galíndez L, Morales A, Soto G, Guevara D, Yoris C. Hernia de Amyand tipo 3. Reporte de caso. Revista Venezolana de Cirugía 2020;73(1):14-7. DOI: 10.48104/RVC.2020.73.1.1

Losanoff JE, Basson MD. Amyand hernia: a classification to improve management. Hernia 2008;12(3):325-6. DOI: 10.1007/s10029-008-0331-y

Garagliano JM, Jaramillo JD, Kopecky KE, Knowlton LM. Amyand hernia: considerations for operative approach and surgi- cal repair. Trauma Surg Acute Care Open 2020;5(1):e000466. DOI: 10.1136/tsaco-2020-000466.

Amato L, Evoli LP, Volpi G, Cesari M, Valeri M. Amyand’s hernia during laparoscopic hernioplasty. Case report: Appendix in a recurrent hernia sac. Revista Venezolana de Cirugía 2021;74(2). DOI: 10.48104/ RVC.2021.74.2.9

Lopez F. Reporte de un paciente con Hernia de Amyand. Correo Científico Médico de Holguín 2015;19(1):153-159.

Lujan R, Tamayo M. Hernia de Amyand. Presentación de tres casos. Clínica Popular Simón Bolívar. Mariara .Carabobo. Venezuela. Archivos del Hospital Universitario “General Calixto García” 2016;4(1):56-65.

Cheatle GL. An operation for inguinal hernia. Proc R Soc Med. 1922;15(Surg Sect):13-14.

Towfigh S. Inguinal hernia: four open approaches. Surg Clin North Am 2018; 98(3):623-636. DOI: 10.1016/j.suc.2018.02.004.

Hiatt J, Hiatt N. Amyand’s hernia. N Engl J Med 1988 318(21):1402. DOI: 10.1056/NEJM198805263182120.

González-Alcolea N, Martínez-Arrieta F, Lucena JL, Jiménez-Cubedo E, Sánchez-Turrión V. De Garengeot’s hernia: Incarcerated femoral hernia containing the vermiform appendix. Report of two cases and literature review. Cir Esp Mar 2017 95(3):177-178. DOI: 10.1016/j.ciresp.2016.08.005.

Hutchinson R. Amyand’s hernia. J R Soc Med 1993 86(2):104-105.

Perrotti S, Bosco D, Miano D, Amico A, Latino R, Di Cataldo A. Incarcerated Amyand’s hernia: A case report. Int J Surg Case Rep 2018;51:265-267. DOI: 10.1016/j. ijscr.2018.08.064

Ivanschuk G, Cesmebasi A, Sorenson EP, Blaak C, Loukas M, Tubbs SR. Amyand’s hernia: a review. Med Sci Monit 2014;20:140-146. DOI: 10.12659/MSM.889873.

Moya-Sánchez E, Fernández-Navarro L, García-Espinosa J. Hernia de Amyand: diagnóstico mediante radiología. Cirugía Andaluza 2017;28(4):286-287.

Singal R, Gupta S. “Amyand’s Hernia”- Pathophysiology, role of investigations and treatment. Maedica (Bucur) 2011 Oct;6(4):321-327.

Singal R, Mittal A, Gupta A, Gupta S, Sahu P, Sekhon MS. An incarcerated appendix: report of three cases and a review of the literature. Hernia 2012;16(1):91-97. DOI: 10.1007/s10029-010-0715-7.