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Vasitis mimicking an Amyand’s hernia: A case report

INTRODUCTION: Amyand’s hernia is an inguinal hernia containing the caecal appendix. It is usually an intraoperative finding, although it can be diagnosed preoperatively with radiologic examinations, which would show a tubular structure inside the inguinal canal. PRESENTATION OF CASE: A male patient...

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Autores principales: Romero Marcos, Juan Manuel, Baena Bradaschia, Santiago, Muñoz Pérez, José María, Cifuentes Ródenas, José Andrés
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5129151/
https://www.ncbi.nlm.nih.gov/pubmed/27898354
http://dx.doi.org/10.1016/j.ijscr.2016.11.035
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author Romero Marcos, Juan Manuel
Baena Bradaschia, Santiago
Muñoz Pérez, José María
Cifuentes Ródenas, José Andrés
author_facet Romero Marcos, Juan Manuel
Baena Bradaschia, Santiago
Muñoz Pérez, José María
Cifuentes Ródenas, José Andrés
author_sort Romero Marcos, Juan Manuel
collection PubMed
description INTRODUCTION: Amyand’s hernia is an inguinal hernia containing the caecal appendix. It is usually an intraoperative finding, although it can be diagnosed preoperatively with radiologic examinations, which would show a tubular structure inside the inguinal canal. PRESENTATION OF CASE: A male patient presented to the emergency department complaining of abdominal pain in the right lower quadrant. He had been orchidectomized during his childhood due to cryptorchidism, and had been under antibiotic treatment a week before due to a suspected gonorrhoea. A small irreductible mass was found in the right groin. Blood tests showed leucocytosis and elevated CRP. A CT-scan was performed, reporting a tubular structure with a blind end entering the inguinal canal that seemed to be the appendix. Single-port laparoscopic exploration was indicated, and a right vasitis was found instead of an Amyand’s hernia. After the operation, the patient explained that he had not taken the antibiotics for the gonorrhoea. DISCUSSION: Untreated gonorrhoea causes ascendant vasitis and orchyepididimitis. In the present case, since the patient did not have testicles, the inflamed vas deferens mimicked the Appendix inside the inguinal canal. If the patient had told the truth about the untreated gonorrhoea, maybe the condition would have been suspected and no radiological examinations would have been performed, which subsequently lead to an unnecessary operation. CONCLUSION: Presently, Amyand’s hernia is more frequently diagnosed preoperatively than intraoperatively. However when an Amyand’s hernia is preoperatively suspected, the possibility of a vasitis should always be ruled out in order to avoid unnecessary operations.
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spelling pubmed-51291512016-12-06 Vasitis mimicking an Amyand’s hernia: A case report Romero Marcos, Juan Manuel Baena Bradaschia, Santiago Muñoz Pérez, José María Cifuentes Ródenas, José Andrés Int J Surg Case Rep Case Report INTRODUCTION: Amyand’s hernia is an inguinal hernia containing the caecal appendix. It is usually an intraoperative finding, although it can be diagnosed preoperatively with radiologic examinations, which would show a tubular structure inside the inguinal canal. PRESENTATION OF CASE: A male patient presented to the emergency department complaining of abdominal pain in the right lower quadrant. He had been orchidectomized during his childhood due to cryptorchidism, and had been under antibiotic treatment a week before due to a suspected gonorrhoea. A small irreductible mass was found in the right groin. Blood tests showed leucocytosis and elevated CRP. A CT-scan was performed, reporting a tubular structure with a blind end entering the inguinal canal that seemed to be the appendix. Single-port laparoscopic exploration was indicated, and a right vasitis was found instead of an Amyand’s hernia. After the operation, the patient explained that he had not taken the antibiotics for the gonorrhoea. DISCUSSION: Untreated gonorrhoea causes ascendant vasitis and orchyepididimitis. In the present case, since the patient did not have testicles, the inflamed vas deferens mimicked the Appendix inside the inguinal canal. If the patient had told the truth about the untreated gonorrhoea, maybe the condition would have been suspected and no radiological examinations would have been performed, which subsequently lead to an unnecessary operation. CONCLUSION: Presently, Amyand’s hernia is more frequently diagnosed preoperatively than intraoperatively. However when an Amyand’s hernia is preoperatively suspected, the possibility of a vasitis should always be ruled out in order to avoid unnecessary operations. Elsevier 2016-11-22 /pmc/articles/PMC5129151/ /pubmed/27898354 http://dx.doi.org/10.1016/j.ijscr.2016.11.035 Text en © 2016 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Romero Marcos, Juan Manuel
Baena Bradaschia, Santiago
Muñoz Pérez, José María
Cifuentes Ródenas, José Andrés
Vasitis mimicking an Amyand’s hernia: A case report
title Vasitis mimicking an Amyand’s hernia: A case report
title_full Vasitis mimicking an Amyand’s hernia: A case report
title_fullStr Vasitis mimicking an Amyand’s hernia: A case report
title_full_unstemmed Vasitis mimicking an Amyand’s hernia: A case report
title_short Vasitis mimicking an Amyand’s hernia: A case report
title_sort vasitis mimicking an amyand’s hernia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5129151/
https://www.ncbi.nlm.nih.gov/pubmed/27898354
http://dx.doi.org/10.1016/j.ijscr.2016.11.035
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