Amyand's hernia and peri-appendicular abscess in primary care.
We report an unusual case of peri-appendicular abscess occurring in an irreducible Amyand's hernia, managed in a primary care setting. An 84-year-old gentleman, with severe chronic obstructive airways disease, was assessed in a Primary Care surgical clinic and found to have a moderate-sized, tender, irreducible right inguinal hernia. He underwent immediate surgery under local anaesthetic. He was found to have a peri-appendicular abscess and perforated appendix within a right indirect inguinal hernia sac. Appendicectomy and sutured hernia repair were performed under local anaesthesia.
Tisdale
J B
JB
Probus Surgical Centre, Tregony Road, Probus, Cornwall, UK. johntisdale@btconnect.com
Barwell
N J
NJ
D000038:Abscess / Q000175:diagnosis / Q000601:surgery*; D000369:Aged, 80 and over; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery*; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery*; D008297:Male