Amyand's Hernia with Necrotic Appendiceal Tip Successfully Managed by Appendectomy and Lichtenstein Mesh Repair: A Case Report and Literature Review
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Abstract
Amyand's hernia is an uncommon variant of inguinal hernia characterized by the presence of the vermiform appendix within the hernia sac. It accounts for approximately 1% of all inguinal hernias, whereas acute appendicitis occurring inside the hernia sac is reported in only 0.08–0.13% of cases. Because of its rarity, preoperative diagnosis is challenging, and there is still controversy regarding the optimal surgical management, particularly concerning the use of prosthetic mesh in the presence of appendiceal inflammation. [1].
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References
I. Bratu D, Mihetiu A, Sandu A, Boicean A, Roman M, Ichim C, et al. Controversies regarding mesh utilisation and the attitude towards the appendix in Amyand's hernia—a systematic review. Diagnostics (Basel). 2023;13(23):3534. doi:10.3390/diagnostics13233534.
II. Manatakis DK, Tasis N, Antonopoulou MI, Anagnostopoulos P, Acheimastos V, Papageorgiou D, et al. Revisiting Amyand's hernia: a 20-year systematic review. World J Surg. 2021;45(6):1763-1770. doi:10.1007/s00268-021-05983-y.
III. Michalinos A, Moris D, Vernadakis S. Amyand's hernia: a review. Am J Surg. 2014;207(6):989-995. doi:10.1016/j.amjsurg.2013.07.043.
IV. Papaconstantinou D, Garoufalia Z, Kykalos S, Nastos C, Tsapralis D, Ioannidis O, et al. Implications of the presence of the vermiform appendix inside an inguinal hernia (Amyand's hernia): a systematic review of the literature. Hernia. 2020;24(5):951-959. doi:10.1007/s10029-020-02215-5.
V. Losanoff JE, Basson MD. Amyand hernia: what lies beneath—a proposed classification scheme to determine management. Am Surg.
;73(12):1288-1290. doi:10.1177/000313480707301221.
VI. Losanoff JE, Basson MD. Amyand hernia: a classification to improve management. Hernia. 2008;12(3):325-326. doi:10.1007/s10029-008-0331-y.
VII. Shaban Y, Elkbuli A, McKenney M, Boneva D. Amyand's hernia: a case report and review of the literature. Int J Surg Case Rep. 2018;47:92-96. doi:10.1016/j.ijscr.2018.04.034.
VIII. Sartori A, Balla A, Botteri E, Scolari F, Podda M, Lepiane P, et al. Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis. Hernia. 2023;27(3):485-501. doi:10.1007/s10029-022-02631-9.