Management of the Aymands Hernia in Laparoscopy

Abstract

A case of acute appendicitis within an inguinal hernia known as Amyands hernia, is presented. Aymands hernia is a very rare condition. Amyands hernia is rarely diagnosed preoperatively. We report a very rare case of appendicitis presenting in an incarcerated inguinal hernia. Its a first case report of Aymands hernia in laparoscopy. An 83-year-old woman was admitted to our emergency department with a painful groin mass. Ultrasonographic examination revealed a hernia sac containing suspected bowel segment. A diagnostic laparoscopy was performed initially and disclosed a inguinal hernia containing a strangulated appendix with a necrotic tip. Without inguinal incision, we were able to obtain a correct diagnosis and perform an appendectomy. This kind of hernia poses diagnostic and therapeutic dilemmas. Initial diagnostic laparoscopy is an invaluable adjunct in both diagnosis and treatment of incarcerated inguinal hernias. Aymands hernia is a rare condition in which the Ultrasound proves to be a most useful tool. Before the final choice of treatment, general surgeons should bear in mind this rare presentation of acute appendicitis.




doi: http://dx.doi.org/10.4021/jcs194w