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Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report

INTRODUCTION: An inguinal hernia with an incarcerated appendix is defined as Amyand’s hernia, and it is relatively rare. Amyand’s hernia complicated with appendicitis, especially perforated appendicitis, is even rarer. Postoperative surgical site infection (SSI) is a dangerous complication, especial...

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Autores principales: Akaishi, Ryujiro, Nishimura, Ryuichi, Naoshima, Kiminari, Miyazaki, Shukichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994868/
https://www.ncbi.nlm.nih.gov/pubmed/29702463
http://dx.doi.org/10.1016/j.ijscr.2018.04.019
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author Akaishi, Ryujiro
Nishimura, Ryuichi
Naoshima, Kiminari
Miyazaki, Shukichi
author_facet Akaishi, Ryujiro
Nishimura, Ryuichi
Naoshima, Kiminari
Miyazaki, Shukichi
author_sort Akaishi, Ryujiro
collection PubMed
description INTRODUCTION: An inguinal hernia with an incarcerated appendix is defined as Amyand’s hernia, and it is relatively rare. Amyand’s hernia complicated with appendicitis, especially perforated appendicitis, is even rarer. Postoperative surgical site infection (SSI) is a dangerous complication, especially in Amyand’s hernia with appendix perforation. The selection of an appropriate surgical approach is necessary to prevent postoperative SSI. Here, we report a case of Amyand’s hernia complicated with appendix perforation that was successfully managed using a two-stage surgical approach consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty. PRESENTATION OF CASE: A 70-year-old male presented with fever and right lower quadrant pain from the day before. After the patient was diagnosed with acute appendicitis within a right inguinal hernia, emergency laparoscopy was performed. The appendix was incarcerated in the right internal inguinal ring and perforated at the base. We decided to take a two-stage surgical approach to avoid postoperative SSI and performed only laparoscopic appendectomy. No postoperative complications occurred. Inguinal hernioplasty was performed 1 month after the first operation. There were no adhesions in the preperitoneal space, and no adverse events occurred postoperatively. CONCLUSIONS: A two-stage surgical approach consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty was used successfully to treat Amyand’s hernia complicated with appendix perforation without causing postoperative SSI.
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spelling pubmed-59948682018-06-12 Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report Akaishi, Ryujiro Nishimura, Ryuichi Naoshima, Kiminari Miyazaki, Shukichi Int J Surg Case Rep Article INTRODUCTION: An inguinal hernia with an incarcerated appendix is defined as Amyand’s hernia, and it is relatively rare. Amyand’s hernia complicated with appendicitis, especially perforated appendicitis, is even rarer. Postoperative surgical site infection (SSI) is a dangerous complication, especially in Amyand’s hernia with appendix perforation. The selection of an appropriate surgical approach is necessary to prevent postoperative SSI. Here, we report a case of Amyand’s hernia complicated with appendix perforation that was successfully managed using a two-stage surgical approach consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty. PRESENTATION OF CASE: A 70-year-old male presented with fever and right lower quadrant pain from the day before. After the patient was diagnosed with acute appendicitis within a right inguinal hernia, emergency laparoscopy was performed. The appendix was incarcerated in the right internal inguinal ring and perforated at the base. We decided to take a two-stage surgical approach to avoid postoperative SSI and performed only laparoscopic appendectomy. No postoperative complications occurred. Inguinal hernioplasty was performed 1 month after the first operation. There were no adhesions in the preperitoneal space, and no adverse events occurred postoperatively. CONCLUSIONS: A two-stage surgical approach consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty was used successfully to treat Amyand’s hernia complicated with appendix perforation without causing postoperative SSI. Elsevier 2018-04-21 /pmc/articles/PMC5994868/ /pubmed/29702463 http://dx.doi.org/10.1016/j.ijscr.2018.04.019 Text en © 2018 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 Article
Akaishi, Ryujiro
Nishimura, Ryuichi
Naoshima, Kiminari
Miyazaki, Shukichi
Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report
title Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report
title_full Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report
title_fullStr Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report
title_full_unstemmed Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report
title_short Amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: A case report
title_sort amyand’s hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994868/
https://www.ncbi.nlm.nih.gov/pubmed/29702463
http://dx.doi.org/10.1016/j.ijscr.2018.04.019
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