||Preoperative diagnosis of Amyand’s hernia: About 3 cases.
VIGNON KOSSI CYPRIEN ,
MUPEPE KUMBA ALEXIS ,
NATTA N'TCHA N'DOME HABIB ,
ONZO Roméo ,
ATTOLOU SÈTONDJI GILLES ROGER ,
MEHINTO KUASSI DELPHIN ,
DUGUE LAURENT ,
||The Journal of Medical Research
||The Amyand’s hernia, presence of a vermiform appendix in inguinal hernia sac, represents about 0.13% of all acute appendicitis and 1% of all inguinal hernias. Although described more than 250 years ago, his preoperative diagnosis remains exceptional. We report 3 clinical cases of Amyand’s hernia, including a case of right inguinal hernia not strangled and two cases of right inguinal hernia strangled (1 case of recurrent right inguinal hernia strangulated and 1 case of appendicular peritonitis complicating strangulated hernia). An abdominopelvic CT-scan performed in 2 cases/3 allowed the diagnosis to be made. No imaging was performed in the case of recurrent inguinal hernia right strangled; In this case, Amyand’s hernia diagnosis was accidentally made intraoperatively. Laparoscopy localized the vermiform appendix in the hernia sac in the case of appendicular peritonitis complicating strangulated hernia. The 3 patients underwent surgery and the postoperative course was uneventful. Laparoscopy or imaging, especially CT-scanmakes preoperative diagnosis.
||Amyand’s hernia, C-T scan, Preoperative diagnosis, vermiform appendix
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