A Case of Inguinal Hernia Contained the Appendix Vermiformis

Toru Kawai, Yutaka Matsuura, Hiroshi Kono, Yoshimi Kitagawa, Hidetaka Yamanaka Kiyoshi Hiramatsu, Satoru Kawai, Tomonori Sugiura, Akihiko Hori and Eiji Nishigaki

Department of Surgery Nagoya Ekisaikai Hospital

Inguinal hernia containing the appendix vermiformis-Amyand's hernia-is relatively rare. So its management is not achieve the consensus. We reported a case and discuss its indication of an appendectomy and hernioplasty. A 43-year-old man admitted to our hospital due to right inguinal swelling was diagnosed with right inguinal hernia. Operative findings disclosed an external inguinal hernia. The hernia sac contained the appendix vermiformis and part of the cecum. We diagnosed it as sliding hernia, i.e., Amyand's hernia. We reduced the cecum manually after appendectomy and hernioplasty, and used a mesh plug in the same wound. The postoperative course was uneventful.

Key words
Amyand's hernia, inguinal hernia, appendix vermiformis

Reprint requests
Toru Kawai Department of Surgery Nagoya Ekisaikai Hospital 4-66 Shonen-cho, Nakagawa-ku, Nagoya, 454-8502 JAPAN

Accepted
March 28, 2001

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