Skip to main content
Log in

Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicular abscess: case report and review of the literature

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

We report the case of a 72-year-old woman with a covered and perforated appendicitis and periappendicular abscess within the hernial sac (Amyand’s hernia) of an incarcerated recurrent inguinal hernia after primary Shouldice repair. Initially, a preoperative CT-scan showed signs of an incarcerated femoral hernia. This would be the first reported case of an incarcerated recurrent Amyand’s hernia, which is an extremely rare condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Hutchinson R (1993) Amyand’s hernia. J R Soc Med 86:104–105

    PubMed  CAS  Google Scholar 

  2. Carey LC (1967) Acute appendicitis occurring in hernias: a report of 10 cases. Surgery 61:236–238

    PubMed  CAS  Google Scholar 

  3. Thomas WE, Vowles KD, Williamson RC (1982) Appendicitis in external herniae. Ann R Coll Surg Engl 64:121–122

    PubMed  CAS  Google Scholar 

  4. Pellegrino JM, Feldman SD (1992) Case report: acute appendicitis in an inguinal hernia. N J Med 89:225–226

    PubMed  CAS  Google Scholar 

  5. Ottaviani M, Maglio MN, Papa F, Zitarelli V, Alario G, Di Marzo A (1997) Acute gangrenous appendicitis in incarcerated inguinal hernia. A case report. Minerva Chir 52:831–833

    PubMed  CAS  Google Scholar 

  6. Bannister SL, Wong AL, Leung AK (2001) Acute appendicitis in an incarcerated inguinal hernia. J Natl Med Assoc 93:487–489

    PubMed  CAS  Google Scholar 

  7. Solecki R, Matyja A, Milanowski W (2003) Amyand’s hernia: a report of two cases. Hernia 7:50–51

    PubMed  CAS  Google Scholar 

  8. D’Alia C, Lo Schiavo MG, Tonante A, Taranto F, Gagliano E, Bonanno L, Di Giuseppe G, Pagano D, Sturniolo G (2003) Amyand’s hernia: case report and review of the literature. Hernia 7:89–91

    Article  PubMed  CAS  Google Scholar 

  9. Kidmas AT, Iya D, Yilkudi MG, Nnadozie U (2004) Acute appendicitis in inguinal hernia: report of two cases. East Afr Med J 81:490–491

    PubMed  CAS  Google Scholar 

  10. Marron CD, Khadim M, McKay D, Mackle EJ, Peyton JW (2005) Amyand’s hernia causing necrotising fasciitis of the anterior abdominal wall. Hernia 9:381–383

    Article  PubMed  CAS  Google Scholar 

  11. Abu-Dalu J, Urca I (1972) Incarcerated inguinal hernia with a perforated appendix and periappendicular abscess: report of a case. Dis Colon Rectum 15:464–465

    Article  PubMed  CAS  Google Scholar 

  12. Serrano A, Ackerman NB (1979) Perforated appendicitis in an incarcerated inguinal hernia. Arch Surg 114:968

    PubMed  CAS  Google Scholar 

  13. Orr KB (1993) Perforated appendix in an inguinal hernial sac: Amyand’s hernia. Med J Aust 159:762–763

    PubMed  CAS  Google Scholar 

  14. Lyass S, Kim A, Bauer J (1997) Perforated appendicitis within an inguinal hernia: case report and review of the literature. Am J Gastroenterol 92:700–702

    PubMed  CAS  Google Scholar 

  15. Logan MT, Nottingham JM (2001) Amyand’s hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Am Surg 67:628–629

    PubMed  CAS  Google Scholar 

  16. House MG, Goldin SB, Chen H (2001) Perforated Amyand’s hernia. South Med J 94:496–498

    PubMed  CAS  Google Scholar 

  17. Bittner R, Sauerland S, Schmedt CG (2005) Comparison of endoscopic techniques vs Shouldice and other open non-mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 19:605–615

    Article  PubMed  CAS  Google Scholar 

  18. McCormack K, Scott NW, Go PM, Ross S, Grant AM (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev CD001785

  19. Scott NW, McCormack K, Graham P, Go PM, Ross SJ, Grant AM (2002) Open mesh versus non-mesh for repair of femoral and inguinal hernia. Cochrane Database Syst Rev CD002197

  20. Schmedt CG, Leibl BJ, Bittner R (2002) Endoscopic inguinal hernia repair in comparison with Shouldice and Lichtenstein repair. A systematic review of randomized trials. Dig Surg 19:511–517

    Article  PubMed  Google Scholar 

  21. Voyles CR (2003) Outcomes analysis for groin hernia repairs. Surg Clin North Am 83:1279–1287

    Article  PubMed  Google Scholar 

  22. Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. (2005) Uncommon content in groin hernia sac. Hernia 1–4

  23. Martins JL, Peterlini FL, Martins EC (2001) Neonatal acute appendicitis: a strangulated appendix in an incarcerated inguinal hernia. Pediatr Surg Int 17:644–645

    Article  PubMed  CAS  Google Scholar 

  24. Luchs JS, Halpern D, Katz DS (2000) Amyand’s hernia: prospective CT diagnosis. J Comput Assist Tomogr 24:884–886

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. A. Kueper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kueper, M.A., Kirschniak, A., Ladurner, R. et al. Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicular abscess: case report and review of the literature. Hernia 11, 189–191 (2007). https://doi.org/10.1007/s10029-006-0163-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-006-0163-6

Keywords

Navigation