[Should appendectomy be performed in Amyand's hernia?: two case reports].
The presence of appendix vermiformis in an inguinal hernia sac is called Amyand's hernia. The disease is named after Claudius Amyand, who performed the first documented and successful appendectomy during a hernioplasty in 1975. Finding an appendix within an inguinal hernia is reported at a rate of 0.51%-1% in the adult population, whereas there is no reported frequency of Amyand's hernia in children due to its rare occurrence. Here, we report two cases of Amyand's hernia. The first is a newborn, diagnosed with strangulated Amyand's hernia by preoperative ultrasound examination of the groin. In this case, the appendix had compromised blood supply, so we performed appendectomy during the hernioplasty. The second patient was diagnosed with Amyand's hernia during elective hernioplasty. In this case, the appendix had no evidence of circulatory or inflammatory disorders, so we performed simple hernioplasty and left the appendix in the abdominal cavity. In Amyand's hernia, there are no standards in approaching the appendix. Appendectomy is not a necessity unless there are circulatory or inflammatory injuries.
Department of Pediatric Surgery, Şişli Etfal Training and Research Hospital, İstanbul, Turkey.
Emine Burcu
EB
Çığşar
Çetin Ali
ÇA
Karadağ
Nihat
N
Sever
Ali Ihsan
AI
Dokucu
D001062:Appendectomy; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002648:Child; D003657:Decision Making; D003937:Diagnosis, Differential; D017558:Elective Surgical Procedures; D006552:Hernia, Inguinal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D007231:Infant, Newborn; D008297:Male