AMYAND'S HERNIA TREATED BY MINIMALLY INVASIVE SURGERY: A CASE REPORT

• DOI: 10.22533/at.ed.1592822214127

• Palavras-chave: inguinal hernia; appendicitis; Amyand's hernia.

• Keywords: inguinal hernia; appendicitis; Amyand's hernia.

• Abstract:

  Introduction: Amyand's hernia is defined as the presence of the cecal appendix within the inguinal hernia sac, with or without inflammation. Objective: This article aims to describe a case of rare inguinal hernia, emphasizing its clinical, diagnostic and therapeutic aspects. Case report: A 70-year-old man was admitted to the emergency room with recurrent right lumbar pain, with a previous history of urinary tract lithiasis. Associated with this, he had a history of bulging in the right inguinal region with incarceration and spontaneous reduction, but it had not reduced for 7 days. History of right inguinal herniorrhaphy 40 years ago. No signs of peritonitis, laboratory with mild leukocytosis and PCR 20. EAS without infectious signs. Computed tomography was performed, which showed non-obstructive nephrolithiasis on the right and inguinal hernia on the right with a portion of the cecal appendix, of normal appearance, inside the hernial sac. He underwent videolaparoscopic right inguinal hernioplasty with tactical videolaparoscopic appendectomy. Discussion: The pathophysiology is related to an enlarged inguinal canal, favoring the probability of inflammation of the cecal appendix. The most common clinical presentation is a reducible inguinal hernia, with bulging in the inguinal region, which is slightly painful. The diagnosis is most often made intraoperatively. Treatment is surgical and consists of appendectomy or not followed by hernia repair with or without the use of a propylene prosthesis. Conclusion: A case of Amyand's hernia, a surgical entity of unusual character and with operative management, was presented.