Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report
Abstract Background The finding of a vermiform appendix within the peritoneal sac of an inguinal hernia is called Amyand’s hernia. The reported incidence of Amyand’s hernia and femoral hernia is 1% and 3.8%, respectively. To our knowledge, no cases have been reported in the literature that associate...
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Japan Surgical Society
2023-02-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01597-9 |
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| author | Franco A. Corvatta René M. Palacios Huatuco Santiago Bertone José F. Viñas |
| author_facet | Franco A. Corvatta René M. Palacios Huatuco Santiago Bertone José F. Viñas |
| author_sort | Franco A. Corvatta |
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| description | Abstract Background The finding of a vermiform appendix within the peritoneal sac of an inguinal hernia is called Amyand’s hernia. The reported incidence of Amyand’s hernia and femoral hernia is 1% and 3.8%, respectively. To our knowledge, no cases have been reported in the literature that associate these two entities. We present the first case of incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia found during emergency surgery. Case presentation A 72-year-old woman was admitted to the Emergency Department for a complicated left inguinal hernia. An inguinotomy was performed that detected a large direct hernial sac and a synchronous femoral hernia. The opening of the inguinal hernia showed the presence of the cecum and the appendix, both without signs of inflammation. The femoral space was evaluated transinguinally, identifying the larger omentum that had slipped into the femoral canal. The primary closure of the posterior wall defect was performed with the McVay technique due to its large size, and then the hernioplasty was completed with a polypropylene mesh. No postoperative complications were reported. Conclusions In the context of an incarcerated Amyand’s hernia, the decision to perform an appendectomy in addition to hernia repair with or without mesh will depend on intraoperative findings. |
| format | Article |
| id | doaj-art-5c49b8f5910e4019965c53f456507b4e |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-5c49b8f5910e4019965c53f456507b4e2025-08-20T03:34:29ZengJapan Surgical SocietySurgical Case Reports2198-77932023-02-01911410.1186/s40792-023-01597-9Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case reportFranco A. Corvatta0René M. Palacios Huatuco1Santiago Bertone2José F. Viñas3General Surgery Department, Hospital Italiano de Buenos AiresPlastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires School of Medicine, Hospital Italiano de Buenos Aires University InstituteMicrosurgery and Abdominal Wall Reconstruction Section, General Surgery Department, Hospital Italiano de Buenos AiresGeneral Surgery Department, Hospital Italiano de Buenos AiresAbstract Background The finding of a vermiform appendix within the peritoneal sac of an inguinal hernia is called Amyand’s hernia. The reported incidence of Amyand’s hernia and femoral hernia is 1% and 3.8%, respectively. To our knowledge, no cases have been reported in the literature that associate these two entities. We present the first case of incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia found during emergency surgery. Case presentation A 72-year-old woman was admitted to the Emergency Department for a complicated left inguinal hernia. An inguinotomy was performed that detected a large direct hernial sac and a synchronous femoral hernia. The opening of the inguinal hernia showed the presence of the cecum and the appendix, both without signs of inflammation. The femoral space was evaluated transinguinally, identifying the larger omentum that had slipped into the femoral canal. The primary closure of the posterior wall defect was performed with the McVay technique due to its large size, and then the hernioplasty was completed with a polypropylene mesh. No postoperative complications were reported. Conclusions In the context of an incarcerated Amyand’s hernia, the decision to perform an appendectomy in addition to hernia repair with or without mesh will depend on intraoperative findings.https://doi.org/10.1186/s40792-023-01597-9Inguinal herniaFemoral herniaEmergencyAppendixMesh repair |
| spellingShingle | Franco A. Corvatta René M. Palacios Huatuco Santiago Bertone José F. Viñas Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report Surgical Case Reports Inguinal hernia Femoral hernia Emergency Appendix Mesh repair |
| title | Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report |
| title_full | Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report |
| title_fullStr | Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report |
| title_full_unstemmed | Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report |
| title_short | Incarcerated left-sided Amyand’s hernia and synchronous ipsilateral femoral hernia: first case report |
| title_sort | incarcerated left sided amyand s hernia and synchronous ipsilateral femoral hernia first case report |
| topic | Inguinal hernia Femoral hernia Emergency Appendix Mesh repair |
| url | https://doi.org/10.1186/s40792-023-01597-9 |
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