Published online Mar 27, 2015. doi: 10.4240/wjgs.v7.i3.47
Peer-review started: July 14, 2014
First decision: August 14, 2014
Revised: January 20, 2015
Accepted: January 30, 2015
Article in press: February 2, 2015
Published online: March 27, 2015
Amyand’s hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative diagnosis difficult. In this study, we present two cases of Amyand’s hernia that were diagnosed preoperatively. The patients were taken for operation with the prediagnosis of ıncarcerated inguinal hernia. We evaluated these cases along with data from prior studies.
Core tip: Amyand’s hernia is a seldom surgical pathology whereby there is inclusion of the appendix vermiformis within the groin hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical presentation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative identification difficult. Owing to the rarity of the condition there is yet no general consensus pertaining the diagnosis and management approach. Arguments continue as to whether to do or not appendectomy and where to employ a mesh during operation. In this paper we share our experience in the diagnosis and treatment of this rare condition by presenting two cases of Amyand’s hernia one having acute appendicitis and the other gangraneous appendicitis.