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Subject: search.filters.subject.Amyand’s 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.
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    Incarcerated Amyand’s hernia in a 6-week old infant repaired under spinal anesthesia
    (2022-12)
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    Aleksandar Stepanovski
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    Marjana Burmuzoska
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    Andrijana Andreevska Stepanovska
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    Amyand’s hernia is characterized by the presence of the vermiform appendix in an inguinal hernia sac. It occurs in less than 1% of all inguinal hernias in children’s age. As the usual pediatric inguinal hernia, it can present in multiple ways, from uncomplicated to incarcerated and/or strangulated hernia with normal, inflamed or even perforated vermiform appendix within the hernia sac. The repair of all the infant cases we came across in literature involved herniorrhaphy with or without appendectomy and general anesthesia. Herein, we present a case of Amyand’s hernia in an infant with concomitant patent ductus arteriosus (PDA), patent foramen ovale (PFO) and interventricular septum hypertrophy that presented with signs and symptoms suggestive of ordinary right-sided incarcerated inguinoscrotal hernia. Due to the cardiac anomaly the infant underwent spinal anesthesia for the hernia repair, thus contributing to the rarity of the case. By thorough literature review, we could not find any similar case of Amyand’s hernia incarceration in an infant operated on under spinal anesthesia. Furthermore, we discuss the surgical and anesthetic aspects of this condition in children.