Amyand’s hernia. Case report

Authors

  • Fernando Karel Fonseca Sosa Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.
  • Pedro Rafael Casado Méndez Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.
  • Rafael Salvador Santos Fonseca Policlínico Universitaria Luis Enrique de la Paz Reyna. Manzanillo. Granma.
  • Reinier Antonio Núñez Siré Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.
  • Yaima Susana Rey Vallés Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.
  • Elismay Quesada Martínez Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.

Keywords:

Amyand’s hernia, incarcerated hernia, acute appendicitis.

Abstract

The incidence of Amyand’s hernia is very low. It is always diagnosed in the trans-operatory period, being almost impossible during the pre-operatory period. This is the case of a female patient, aged 75 years, with antecedents of recidivist right inguinal hernia. It began with pain in epigastrium and in the right inguinal region in addition to nausea and vomits. Surgical scar and volume increase in the right inguinal region were identified. It was decided to make a surgery with the clinical diagnosis of incarcerated recidivist right inguinal hernia. During the surgery an acute suppurated appendicitis was identified as the content of the inguinal hernial sac. The appendectomy was carried out and hernia was repaired in the same surgical time; a polypropylene mesh was placed. Broad spectrum antibiotics were applied. The evolution of the patient was satisfactory. The biopsy confirmed the diagnosis. The case was presented because despite of being known, its incidence is very low, so there are difficulties for diagnosing it.

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Author Biographies

Fernando Karel Fonseca Sosa, Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.

Especialista de I Grado en Medicina General Integral. Especialista de  I Grado Cirugía General. Profesor Instructor.

Pedro Rafael Casado Méndez, Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.

Especialista de II  Grado en Medicina General Integral. Especialista de I Grado en Cirugía General. Investigador agregado. Profesor Instructor.

Rafael Salvador Santos Fonseca, Policlínico Universitaria Luis Enrique de la Paz Reyna. Manzanillo. Granma.

Residente 1er año en Medicina General Integral.

Reinier Antonio Núñez Siré, Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.

Especialista de I Grado en Cirugía General. Profesor Instructor.

Yaima Susana Rey Vallés, Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.

Especialista de I Grado en Cirugía General. Profesor Instructor.

Elismay Quesada Martínez, Hospital Provincial Clínico Quirúrgico Docente Celia Sánchez Manduley. Manzanillo. Granma.

Especialista de I Grado en Cirugía General. Profesor Instructor.

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Published

2017-03-24

How to Cite

1.
Fonseca Sosa FK, Casado Méndez PR, Santos Fonseca RS, Núñez Siré RA, Rey Vallés YS, Quesada Martínez E. Amyand’s hernia. Case report. Rev Méd Electrón [Internet]. 2017 Mar. 24 [cited 2025 Jan. 9];39(2):330-7. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/1728

Issue

Vol. 39 No. 2 (2017)

Section

Presentation of cases

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