Faculty of Medicine

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Author: search.filters.author.Trenchikj, BojanSubject: search.filters.subject.inguinal hernia

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    Amyand's hernia with gangrenous perforated appendicitis and diffuse peritonitis-case report
    (Oxford University Press (OUP), 2025-11)
    Gelevski, Radomir
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    Manevska, Vesna Jovanovska
    Amyand's hernia, the presence of the vermiform appendix within an inguinal hernia sac, is a rare clinical entity (0.2%-1.7% of inguinal hernias). Acute appendicitis within the sac is rarer still, occurring in only 0.1% of cases. We describe a male patient presenting with an incarcerated right inguinal hernia, who developed diffuse peritonitis after manual reduction. Laparotomy revealed gangrenous perforated appendicitis with purulent peritonitis. Appendectomy, partial omentectomy, and peritoneal lavage were performed. The patient recovered uneventfully. Amyand's hernia complicated by perforated appendicitis is an exceptional surgical emergency. Early recognition and prompt surgical management are crucial for favorable outcomes.
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    AMYAND’S HERNIA–A RARE CASE OF RIGHT-SIDED INGUINAL HERNIA
    (Macedonian Association of Anatomists and Morphologists, 2023)
    Shumenkovski, Velimir
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    Arnaudov, Dimitar
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    Trenchikj, Bojan
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    Amyand’s hernia is the presence of the appendix in the inguinal hernia sac. The prevalence of this type of inguinal hernia is about 1%. Majority of cases of Amyand’s hernia are incidentally diagnosed during surgical treatment of inguinal hernia. Amyand’s hernia typically presents on the right side since right-sided inguinal hernia is more common and the appendix is located in the lower right quadrant of the abdomen. We present a case of a 23-year-old patient hospitalized at the University Clinic for Digestive Surgery in Skopje for elective surgical treatment of right-sided inguinal hernia.