Atypical Appendicitis in the Elderly

Amyand's hernia is an extremely rare condition in which the appendix is positioned in the inguinal hernia sac. Acute appendicitis is much less common in this situation, especially in the elderly population, and few reports are found in the literature. Whether the presence of the appendix within...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 14; no. 2; p. e22495
Main Authors Gaisinskaya, Polina, VanHelmond, Taylor, Hernandez, Oscar L
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 22.02.2022
Cureus
Subjects
Abdomen
Appendectomy
Appendicitis
Appendix
Case reports
Decision making
Emergency medical care
Gastroenterology
General Surgery
Hernias
Inflammation
Internal Medicine
Laparoscopy
Medical imaging
Medicine
Patients
Pediatrics
Sepsis
Surgery
Tomography
Ultrasonic imaging
Florida
United States > US
appendicitis
hernia in elderly
elderly individuals
hernia
amyands hernia
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Summary:Amyand's hernia is an extremely rare condition in which the appendix is positioned in the inguinal hernia sac. Acute appendicitis is much less common in this situation, especially in the elderly population, and few reports are found in the literature. Whether the presence of the appendix within the inguinal sac increases the chance of developing appendicitis or the relationship is coincidental is unclear. Majority of cases reported are in the male pediatric population. The varying surgical approaches are entirely case-specific without much standardization. Perioperative planning remains difficult in all cases as this condition is exceedingly rare, especially outside of the pediatric population. We present such a case with the hope that we increase awareness about this uncommon condition, in which preoperative diagnosis and planning remains difficult.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.22495