Amyand’s hernia: which oncologic risk can be hidden in the sac?

Amyand’s hernia: which oncologic risk can be hidden in the sac?

Authors

  • Filippo Montali ASL PARMA
  • Manuel Baldinu
  • Alfredo Annicchiarico
  • Edoardo Virgilio
  • Renato Costi

Keywords:

Amyand hernia, inguinal appendicitis, appendiceal cancer.

Abstract

Amyand's hernia (AH) is a rare condition in which the appendix is found in the sac of an inguinal hernia. It occurs in only 1% of adult inguinal hernias. The herniated appendix can occasionally range varying degrees of acute inflammation up to neoplastic transformation. An appendiceal tumor can be rarely described inside the AH sac. We describe a case of gangrenous appendicitis in AH and offer a review of the literature on AH when presenting with appendicitis associated with appendiceal cancer. As of 2022, only nine cases of AH presenting with appendicitis associated with appendiceal cancer have been reported by the pertinent literature. In order of decreasing frequency, AH, AH-related appendicitis and AH-related appendicitis associated with appendiceal cancer are three rare conditions. Particular attention should be kept in each situation as diagnosis is achieved postoperatively most of the times.

 

References

Vincenzo Lippolis, P, Barlettai M, Filidei F, Seccia M. The Aymand’s hernia. Case report and review of the literature. Ann Ital Chir 2007; 78 (2). 157-8.

Smith-Singares E, Boachie JA, Iglesias IM. A rare case of appendicitis incarcerated in an inguinal hernia. J Surg Case Rep 2016; 2016 (6): rjw096.

Rollo A, Franzini C, Casali L, Santi C, Lombardo E, Violi V. De Garengeot hernia: laparoscopic treatment in emergency. Acta Biomed 2019; 90 (4): 568-71.

Davies MG, O’Byrne P, Stephens RB. Perforated appendicitis presenting as an irreducible inguinal hernia. Br J Clin Pract 1990; 44 (11): 494-5.

Pitchaimuthu M, Dace S. A rare presentation of appendicitis as groin swelling: a case report. Cases J 2009; 2 (1): 53.

D’Alia C, Lo Schiavo MG, Tonante A, et al. Amyand’s hernia: case report and review of the literature. Hernia 2003; 7 (2): 89–91.

Baldassarre E, Centonze A, Mazzei A, Rubino R. Amyand's hernia in premature twins. Hernia 2009; 13 (2): 229-30.

Sharma H, Gupta A, Shekhawat NS, Memon B, Memon M. Amyand's hernia: a report of 18 consecutive patients over a 15-year period. Hernia 2007; 11 (1): 31-5.

Abu-Dalu J, Urca I. Incarcerated inguinal hernia with a perforated appendix and periappendicular abscess: Report of a case. Dis Colon Rectum 1972; 15 (6): 464-5.

Logan MT, Nottingham JM. Amyand’s hernia: a case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. Am Surg 2001; 67 (7): 628-9.

Apostolidis S, Papadopoulos V, Michalopoulos A. Amyand’s Hernia: A Case Report and Review of the Literature. Internet J Surg 2005; 6: 1.

Ash L, Hatem S, Ramirez GA, Veniero J. Amyand's hernia: a case report of prospective ct diagnosis in the emergency department. Emerg Radiol 2005; 11 (4): 231-2.

Lyass S, Kim A, Bauer J. Perforated appendicitis within an inguinal hernia: case report and review of the literature. Am J Gastroenterol 1997; 92 (4):700-2.

Kueper MA, Kirschniak A, Ladurner R, Granderath FA, Konigsrainer A. Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicular abscess: case report and review of the literature. Hernia. 2007; 11 (2):189-91.

Serrano A, Ackerman NB. Perforated appendicitis in an incarcerated inguinal hernia. Arch Surg 1979; 114 (8): 968.

Milburn JA, Youngson GG. Amyand's hernia presenting as neonatal testicular ischaemia. Pediatr Surg Int 2006 22 (4): 390-2.

Ioannidis O, Styliani P, Kakoutis E et al. Strangulation of the vermiform appendix within a right inguinal hernia: a rare variation of Amyand's hernia. Am Surg 2010; 76 (11): 1305-6.

Marron CD, Khadim M, McKay D, Mackle EJ, Peyton JW. Amyand's hernia causing necrotising fasciitis of the anterior abdominal wall. Hernia 2005; 9 (4):381-3.

Osorio JK, Guzmán-Valdivia G. Ipsilateral Aymand's and Richter's hernia, complicated by necrosing fascitis. Hernia 2006; 10 (5):443-6.

Willson TD, Rao V, Podbielski FJ, Blecha MJ. In situ aortic thrombosis secondary to intra-abdominal abscess. Am J Case Rep 2012; 13: 149-52.

Llullaku SS, Hyseni NSh, Kelmendi BZ, Jashari HJ, Hasani AS. A pin in appendix within Amyand's hernia in a six-years-old boy: case report and review of literature. World J Emerg Surg 2010; 5: 14.

Losanoff JE, Basson MD. Amyand hernia: what lies beneath--a proposed classification scheme to determine management. Am Surg 2007; 73 (12): 1288-90.

Virgilio E, Uccini S, Marchetti P, Mercantini P. Commentary on “a case of paratesticular leiomyosarcoma successfully treated with orchiectomy and chemotherapy”. Cancer Res Treat 2016; 48 (1): 422-4.

Nahmias NC, Kaplan LA, Muddasani KP. Image of the month. Incarcerated inguinal hernia. JAMA Surg 2013; 148 (6): 573-5.

Elbanna KY, Alzahrani HA, Azzumeea F, Alzamel HA. Neuroendocrine tumor of the appendix inside an incarcerated Amyand’s hernia. Int J Surg Case Rep 2015; 14, 152-5.

Yahya Z, Wang CI, Hong B. Amyand’s hernia containing an appendiceal goblet cell carcinoid tumour. BMJ Case Rep 2017; 2017: bcr2017219428.

Christodoulidis G, Perivoliotis K, Diamantis A, Dimas D, Spyridakis M, Tepetes K. An appendiceal carcinoid tumor within an Amyand’s hernia mimicking an incarcerated inguinal hernia. Case Rep Surg 2017; 2017: 5932657.

Shabeeb F, Hairol AO, Jarmin R. Amyand’s hernia with mucinous cysadenoma of the appendix. Indian J Surg 2010; 72 (Suppl 1): 341-3.

Reynu R. A rare presentation of caviar appendix in an Amyand’s hernia. Brunei Int Med J 2015; 11 (4): 209-13.

Oh HB, Chen Y, Soon Y. Low-grade appendiceal mucinous neoplasm within an Amyand’s hernia. ANZ J Surg 2019; 89 (6): E286-7.

Salemis NS, Nisotakis K, Stavrinou P, Tsohataridis E. Perforated appendix and periappendicular abscess within an inguinal hernia. Hernia 2006; 10 (6): 528-30.

Wu CI, Yu Cc. Amyand’s hernia with adenocarcinoid tumor. Hernia 2010; 14 (4): 423-5.

Pinchot SN, Holen KH, Sippel RS, Chen H. Carcinoid tumors. Oncologist 2008; 13 (12): 1255-69.

Ellis L, Shale MJ, Coleman MP. Carcinoid tumors of the gastrointestinal tract: trends in incidence in England since 1971. Am J Gastroenterol 2010; 105 (12): 2563-9.

Sarici B, Akbulut S, Piskin T. Appendiceal carcinoid tumor within Amyand’s hernia: a case report and review of the literature. Turk J Emerg Med 2019; 19 (2): 73-5.

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Published

22-09-2022

Issue

Section

Case Reports: Oncology and Hematology

How to Cite

1.
Montali F, Baldinu M, Annicchiarico A, Virgilio E, Costi R. Amyand’s hernia: which oncologic risk can be hidden in the sac?. Acta Biomed [Internet]. 2022 Sep. 22 [cited 2024 Jul. 13];93(S1):e2022273. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/13322