Sinan SOYLU, Birkan BOZKURT, Kürşat KARADAYI, Meriç Emre BOSTANCI, Uğur ABAKAY

İnkarsere herni kesesi içinde perfore apandisit (Amyand hernisi): Olgu sunumu

İnguinal herni kesesi içerisinde inflamasyon olsun yada olmasın apendiks vermiformis bulunması,Amyand herni olarak isimlendirilir. Amyand hernisi, inguinal herni olgularının yaklaşık %1ikadar görülür. Akut apendisitli olgularda ise Amyand herni sıklığı %0,1 olarak bildirilmiştir.İnkarsere inguinal herni kliniği, çoğunlukla akut apandisitin belirti ve bulgularını maskeler ve bunedenle preoperatif tanı koymak zor olabilir. Bu yazımızda, inkarsere inguinal herni nedeniyle acilopere edilen ve peroperatuvar herni kesesi içinde perfore apandisit saptanarak Amyand hernisitanısı konan 81 yaşında erkek hasta olgusu sunulmuş ve ilgili literatürler eşliğinde tartışılmıştır.

Perf orated appendicitis in an incarcerated hernia sac (Amyand s hernia) : A case report

Amyand hernia is determined as the presence of normal or inflamed appendix in the hernia sac.Amyand s hernia is seen in approximately 1% of inguinal hernia cases. Incidance of Amyand shernia is reported 0.1% in a case with acute appendisitis. Signs and symptoms of acuteappendicitis are overshadowed by clinical findings related to incarcerated inguinal hernia and thuspreoperative diagnosis of Amyand s hernia may be difficult. The aim of this report is to describeand review the litreture in a case 81 years old male patient operated for incarcerated inguinalhernia and diagnosed as Amyand hernia in peroperative period.

PDF

___

1. 1.ÖztaşM, Yıldız R, Can MF. Amyands Hernia; Case Series and Our Ten Years Experience. Journal of Surgical Arts 2013; 6: 1-3.
2. Burgess PL, Brockmeyer JR, Johnson EK. Amyand Hernia Repaired with Bio-A: A Case Report and Review. J Surg Education 2011; 68: 62-6.
3. Carey LC. Acute appendicitis occuring in hernias: A report of 10 cases. Surgery 1967; 31: 236-238.
4. Hutchinson R. Amyands hernia. J R Soc Med 1993; 86: 104-5.
5. Priego P, Lobo E, Moreno I. Acute appendicitis in an incarcerated crural hernia: analysis of our experience. Rev Esp Enferm Dig 2005; 97: 707-5.
6. Losanoff JE, Basson MD. Amyand hernia: A classifica-tion to improve management. Hernia 2007; 12: 325-6.
7. Logan MT, Nottingham JM. Amyands hernia: A case report of an incarcerated and perforated appendix withina an inguinal hernia and review of the literature. Am Surg 2000; 67: 628-9.
8. Ash L, Hatem S, Ramirez GA, Veniero J. Amyands hernia: A case report of prospective CT diagnosis in the emergency department. Emerg Radiol 2005; 11: 231-2.
9. Maizlin ZV, Mason AC, Brown C, Brown JA. CT findings of normal and inflamed appendix in groin hernia. Emerg Radiol 2007; 14: 97-100.
10. Luchs JS, Halpern D, Katz DS. Amyands hernia: Prospective CT diagnosis. J Comput Assist Tomogr 2000; 24: 884-6.
11. Weber RV HZ, Kraal JG. Amyands hernia: Etiologic and therapeutic implicationsof the two complications. Surg Rounds 1999; 22: 552-6.
12. Anagnostopoulou S, Dimitroulis D, Troupis TG. Amyand's hernia: a case report. World J Gastroenterol 2006; 29: 4761-3.
13. Losanov JE, Basson MD. Amyand hernia: A classiWcation to improve management. Ofili OP: Simultaneous appendectomy and inguinal hernioraphy could be benefical. Ethiop Med J 1991; 29: 37-8.
14. Hazar E. Amyand Hernia: Case report.Cumhuriyet Med J 2013; 35: 597-9.