Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case

The herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We r...

Full description

Saved in:
Bibliographic Details
Main Authors: Markus Gass, Anatol Zynamon, Markus von Flüe, Ralph Peterli
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2013/198783
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849403142573129728
author Markus Gass
Anatol Zynamon
Markus von Flüe
Ralph Peterli
author_facet Markus Gass
Anatol Zynamon
Markus von Flüe
Ralph Peterli
author_sort Markus Gass
collection DOAJ
description The herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We report the case of a 62-year-old woman who presented with right lower quadrant pain seven years after Roux-en-Y Cystojejunostomy for a pancreatic cyst. CT scan showed herniation of the vermiform appendix through a former drain-site. A diagnostic laparoscopy with appendectomy and direct closure of the abdominal wall defect combined with mesh reinforcement was performed. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.
format Article
id doaj-art-93b79ce16d51497caf9459827fabfcf2
institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-93b79ce16d51497caf9459827fabfcf22025-08-20T03:37:20ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/198783198783Drain-Site Hernia Containing the Vermiform Appendix: Report of a CaseMarkus Gass0Anatol Zynamon1Markus von Flüe2Ralph Peterli3Department of Surgery, St. Claraspital Basel, 4058 Basel, SwitzerlandDepartment of Radiology, St. Claraspital Basel, 4058 Basel, SwitzerlandDepartment of Surgery, St. Claraspital Basel, 4058 Basel, SwitzerlandDepartment of Surgery, St. Claraspital Basel, 4058 Basel, SwitzerlandThe herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We report the case of a 62-year-old woman who presented with right lower quadrant pain seven years after Roux-en-Y Cystojejunostomy for a pancreatic cyst. CT scan showed herniation of the vermiform appendix through a former drain-site. A diagnostic laparoscopy with appendectomy and direct closure of the abdominal wall defect combined with mesh reinforcement was performed. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.http://dx.doi.org/10.1155/2013/198783
spellingShingle Markus Gass
Anatol Zynamon
Markus von Flüe
Ralph Peterli
Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
Case Reports in Surgery
title Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
title_full Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
title_fullStr Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
title_full_unstemmed Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
title_short Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case
title_sort drain site hernia containing the vermiform appendix report of a case
url http://dx.doi.org/10.1155/2013/198783
work_keys_str_mv AT markusgass drainsiteherniacontainingthevermiformappendixreportofacase
AT anatolzynamon drainsiteherniacontainingthevermiformappendixreportofacase
AT markusvonflue drainsiteherniacontainingthevermiformappendixreportofacase
AT ralphpeterli drainsiteherniacontainingthevermiformappendixreportofacase