Ortiz-Contreras S, Rivera-López F, Solórzano-Pineda O, Rangel-Rodarte R, Ortiz-Contreras AP

Language: Spanish
References: 30
Page: 533-537
PDF size: 459.03 Kb.

ABSTRACT

Background: Amyand hernia is a protrusion of the cecal appendix through the abdominal wall defect. Initially described in an inguinal hernia, but has expanded the definition to include femoral and incisional hernias.
Clinical case: Women of 68 years old, with a history of laparoscopic cholecystectomy 12 years ago. With clinical symptoms of sudden onset painful lump in right lower quadrant. The computed tomography reported an incarcelada hernia abscess wall. Then, in laparotomy was found an abscessed herniation from cecal appendix due to defect in the abdominal wall measuring 2 cm of diameter. Appendectomy was performed and primary closure of the defect with non-absorbable material. The patient went on health and was discharged on the fifth postoperative day.
Conclusions: If the Amyand herniation is an uncommon disease evenmore the presentation of postincisional herniation with laparoscopic trocars from 5 ml and an inflamed appendix within the hernial sac. The preoperative diagnosis is difficult; it must be based on clinical suspicion, supported by imaging tests.

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