AMYAND HERNIA CASE PRESENTATION
Abstract:
We present the case report of a patient for 36 years, admitted through Emergency Unit with
the diagnosis of right inguinal strangled hernia. After surgical intervention, the case analysis reveals
some particuliarities: the relatively recent right inguinal hernia; strangulation under four hours with
easz reduction in taxis and rapid resumption of bowel movements, the persistence of spontaneous pain
and endured feeler with finding a formation stretched to cover the entire canal, erroneously interpreted
as acceding endured epiploic fringe bag, bag adherence raises the issue of an older recruitment, silent
development of acute appendicitis with unchanged biological values, the etiopathogenic factors of the
acute appendicitis were the adherence to the bag the hernial strangulation which lead to appendix
ischaemia and secondary circulatory alterations. In conclusion, although extensive medical literature
describs the symptoms and development of acute appendicitis in hernial bag, Amyand hernia constitutes
an intraoperative surprise.
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