Alice A Higdon, DO, Alexander Gonzalez-Jacobo, DO, Jackie Battista, DO, FACOS. St. John’s Episcopal Hospital
Between 5-10% of Americans experience an inguinal hernia in their lifetime, however, only 1% of these hernias contain the vermiform appendix, which is termed an Amyand Hernia. Even more rare, is the 0.1% of the Amyand hernias which contain a perforated appendix. This hernia is difficult to diagnose and typically is an intraoperative finding. This rare inguinal hernia is named for Claudius Amyand, an English surgeon credited with the first successful appendectomy in 1735 when he removed the first vermiform appendix from a right inguinal hernia sac from an 11-year-old boy. Though Dr. Amyand recounted this surgery as “quiet perplexing”, there are many ways in which a vermiform appendix can be appreciated in the inguinal canal: adherent or non-adherent, inflamed or non-inflamed, perforated or contained. The incidence of Amyand Hernia is 0.07-0.13% regardless of the stage of presentation. In the case presented here, the patient had a non-inflamed, reducible right Amyand’s Hernia, which was repaired via laparoscopic appendectomy and laparoscopic transabdominal preperitoneal right inguinal hernia repair with mesh.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85512
Program Number: P003
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster