Philippine Journal of Surgical Specialties 2025;80(1):29-33
doi:https://doi.org/10.61662/PCS_igyd4527
Laparoscopic management of Amyand's hernia in an adult male patient: A case report
Maria Elizabeth D. Dela Cruz 1 ; Louis Matthew C. Manlongat 1 ; Victor Philip Delos Reyes 1
Affiliations
Keywords
Amyand’s Hernia; Inguinal
Country
Philippines
Language
English
MeSH
ACTIONS
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Abstract
Amyand’s hernia is a hernia where the appendix is within the inguinal hernial sac. It is often diagnosed by chance due its indeterminate clinical presentation. This case reports a 50-year-old Filipino male who presented with direct and rebound tenderness on the lower abdomen in the presence of a right inguinal bulge. CT scan showed an appendix coursing inferiorly into the pelvis, herniating through a 2 cm defect of the anterior abdominal muscle into the right inguinal region along with mesenteric fat. Laparoscopy confirmed acute appendicitis within an inguinal hernia (Amyand’s hernia Type 2). Diagnostic laparoscopy, appendectomy and primary repair of the right inguinal ring were performed. The patient had an unremarkable post-operative course and was discharged after 2 days. He was advised to undergo IPOM to prevent hernia recurrence. Laparoscopic management can be a safe option for cases of Amyand’s hernia.
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