İnkarsere herni kesesi içinde perfore apandisit (Amyand hernisi): Olgu sunumu
Öz
Özet
İnguinal herni kesesi içerisinde inflamasyon olsun yada olmasın apendiks vermiformis bulunması, Amyand herni olarak isimlendirilir. Amyand hernisi, inguinal herni olgularının yaklaşık %1’i kadar görülür. Akut apendisitli olgularda ise Amyand herni sıklığı %0,1 olarak bildirilmiştir. İnkarsere inguinal herni kliniği, çoğunlukla akut apandisitin belirti ve bulgularını maskeler ve bu nedenle preoperatif tanı koymak zor olabilir. Bu yazımızda, inkarsere inguinal herni nedeniyle acil opere edilen ve peroperatuvar herni kesesi içinde perfore apandisit saptanarak Amyand hernisi tanısı konan 81 yaşında erkek hasta olgusu sunulmuş ve ilgili literatürler eşliğinde tartışılmıştır.
Anahtar sözcükler: İngıinal herni, amyand hernisi, akut apandisit
Abstract
Amyand hernia is determined as the presence of normal or inflamed appendix in the hernia sac. Amyand’s hernia is seen in approximately 1% of inguinal hernia cases. Incidance of Amyand’s hernia is reported 0.1% in a case with acute appendisitis. Signs and symptoms of acute appendicitis are overshadowed by clinical findings related to incarcerated inguinal hernia and thus preoperative diagnosis of Amyand’s hernia may be difficult. The aim of this report is to describe and review the litreture in a case 81 years old male patient operated for incarcerated inguinal hernia and diagnosed as Amyand hernia in peroperative period.
Keywords: Inguinal hernia, amyand’s hernia, acute appendisitis
Anahtar Kelimeler
References
- ÖztaşM, Yıldız R, Can MF. Amyand’s Hernia; Case Series and Our Ten Years Experience. Journal of Surgical Arts 2013; 6: 1-3.
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- Carey LC. Acute appendicitis occuring in hernias: A report of 10 cases. Surgery 1967; 31: 236-238.
- Hutchinson R. Amyand’s hernia. J R Soc Med 1993; 86: 104-5.
- Priego P, Lobo E, Moreno I. Acute appendicitis in an incarcerated crural hernia: analysis of our experience. Rev Esp Enferm Dig 2005; 97: 707-5.
- Losanoff JE, Basson MD. Amyand hernia: A classifica-tion to improve management. Hernia 2007; 12: 325-6.
- Logan MT, Nottingham JM. Amyand’s hernia: A case report of an incarcerated and perforated appendix withina an inguinal hernia and review of the literature. Am Surg 2000; 67: 628-9.
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Details
Primary Language
Turkish
Subjects
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Journal Section
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Publication Date
November 17, 2014
Submission Date
November 17, 2014
Acceptance Date
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Published in Issue
Year 2014 Volume: 36 Number: 4