Abstract
Background
The presence of a vermiform appendix in an inguinal hernia sac is known as Amyand's
hernia. The aim of this systematic review was to gather information concerning its
prevalence, clinical image, diagnosis, and treatment.
Data Sources
The MEDLINE database was thoroughly searched using the keyword “Amyand's hernia.”
Additional articles were gathered and evaluated.
Conclusions
The true prevalence of Amyand's hernia seems lower than classically described. Its
usual clinical image is identical to that of an incarcerated hernia, and thus it is
almost impossible to diagnose preoperatively, although ultrasound and computed tomography
can help. Treatment includes hernioplasty with or without appendectomy and/or mesh
repair depending on the vermiform appendix's inflammation status, the patient's general
condition, and other factors. Amyand's hernia generally has a good prognosis, although
serious complications have been described. Surgeons should be prepared if they encounter
Amyand's hernia because appropriate treatment ensures hernia repair without complications
and with avoidance of recurrence.
Keywords
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Article info
Publication history
Published online: November 11, 2013
Received in revised form:
June 20,
2013
Received:
May 23,
2013
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
