Uncomplicated Amyand's hernia in a setting of abdominal wall insufficiency: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2025-01-13 DOI:10.1186/s13256-024-05015-y
Vasishtha Avadhani Upadrasta, Avinash Koul, Vikrant Singh Chauhan
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Abstract

Introduction: Amyand's hernia, an uncommon condition characterized by the presence of the appendix within an inguinal hernial sac (< 1% incidence), poses diagnostic and therapeutic challenges. Often it is an intraoperative finding, with almost no clinical symptoms.

Case presentation: This is a case of an Indian male in his early 80 years, diagnosed with bilateral direct inguinal hernias, one of which contained a noninflamed appendix. Given the thinned out abdominal wall, dense adhesions, and no demarcation between layers, the decision to proceed with a modified Bassini's with Lichtenstein mesh repair without appendectomy, guided by intraoperative findings and the Losanoff-Basson Classification, reflecting the complex interplay between individual patient factors and intraoperative considerations. The patient did well during his postoperative stay and was in good health on a 45 day follow-up, with no complaints suggestive of recurrence or obstruction.

Conclusion: This case underscores the importance of tailored management strategies and highlights, especially in cases where recurrence and postoperative wall integrity are in question, the ongoing need for research to refine treatment guidelines for Amyand's hernia, especially in cases of appendicitis not diagnosed preoperatively.

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腹壁功能不全的无并发症Amyand疝1例报告。
简介:Amyand疝是一种罕见的疾病,其特征是阑尾位于腹股沟疝囊内。病例介绍:这是一个80岁出头的印度男性,诊断为双侧直接腹股沟疝,其中一个包含未发炎的阑尾。考虑到腹壁变薄,粘连致密,层间无分界,在术中发现和Losanoff-Basson分类的指导下,决定继续进行改良Bassini + Lichtenstein补片修复而不切除阑尾,这反映了患者个体因素和术中考虑之间复杂的相互作用。患者在术后住院期间表现良好,随访45天健康状况良好,无复发或梗阻症状。结论:该病例强调了量身定制治疗策略的重要性,并强调,特别是在复发和术后壁完整性有问题的情况下,需要持续研究以完善Amyand疝的治疗指南,特别是在术前未诊断的阑尾炎的情况下。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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