Amyand Hernia : What Lies Beneath-A Proposed Classification Scheme to Determine Management
Acute appendicitis in a hernia sac occurs exceptionally. An 80-year-old male patient underwent emergency surgery for an incarcerated right inguinal hernia found to contain a gangrenous appendix. His brief improvement after an emergency herniotomy with appendectomy was followed by intestinal obstruct...
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Published in | The American surgeon Vol. 73; no. 12; pp. 1288 - 1290 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Atlanta, GA
Southeastern Surgical Congress
01.12.2007
SAGE PUBLICATIONS, INC |
Subjects | |
Online Access | Get full text |
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Summary: | Acute appendicitis in a hernia sac occurs exceptionally. An 80-year-old male patient underwent emergency surgery for an incarcerated right inguinal hernia found to contain a gangrenous appendix. His brief improvement after an emergency herniotomy with appendectomy was followed by intestinal obstruction caused by advanced colon cancer. The unique features and individualized management of the four published types of Amyand hernia are reviewed. Rather than simply being an anatomical curiosity, Amyand hernias require individualized attention to decide how to manage both the appendix and the hernia. Clinical scrutiny, a high index of suspicion for surgical comorbidities, and a common sense approach may improve outcomes. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0003-1348 1555-9823 |
DOI: | 10.1177/000313480707301221 |