Annali italiani di chirurgia · 2018
Amyand Hernia in an elderly patient.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Maternini Matteo, Gabrielli Francesco, Pecora Nicoletta, Riggio Valentina, Chiarelli Marco, Guttadauro Angelo
Аннотация
INTRODUCTION: Inguinal hernia is one of the most common surgical entities and often poses technical dilemmas, even for the experienced surgeon. Amyand's hernia is an inguinal hernia; a protrusion of abdominal cavity content through the inguinal canal, with a vermiform appendix.
CASE REPORT: A 77 years old Caucasian male was referred to our institution for the evaluation of a recurrent right inguinal hernia. During the surgery, we discovered a rare type I Amyand hernia. Following the guidelines we performed, a prosthetic tension-free inguinal ernioplasty without appendectomy.The patient was discharged on the first post-operative day. The follow-up at 7 days was uneventful.
DISCUSSION: First described by Claudius Amyand (1660-1740), a French born English surgeon, who successfully performed the first reported appendectomy for inflamed appendix encountered during herniotomy on an 11 year-old boy in 1735 at St George's hospital.The incidence of Amyand's hernia is between 1%. The association of appendicitis is even rarer and reported to be around of 0.1%. Losanoff and Basson proposed a classification scheme to determine the surgical management of Amyand's hernia, depending on the status of the appendix KEY WORD: Amyand Hernia, Appendix, Elderly.
CASE REPORT: A 77 years old Caucasian male was referred to our institution for the evaluation of a recurrent right inguinal hernia. During the surgery, we discovered a rare type I Amyand hernia. Following the guidelines we performed, a prosthetic tension-free inguinal ernioplasty without appendectomy.The patient was discharged on the first post-operative day. The follow-up at 7 days was uneventful.
DISCUSSION: First described by Claudius Amyand (1660-1740), a French born English surgeon, who successfully performed the first reported appendectomy for inflamed appendix encountered during herniotomy on an 11 year-old boy in 1735 at St George's hospital.The incidence of Amyand's hernia is between 1%. The association of appendicitis is even rarer and reported to be around of 0.1%. Losanoff and Basson proposed a classification scheme to determine the surgical management of Amyand's hernia, depending on the status of the appendix KEY WORD: Amyand Hernia, Appendix, Elderly.