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Cirugía paraguaya

On-line version ISSN 2307-0420


NOGUERA-ARZAMENDIA, Jacinto; FRETES-GOMEZ, Amanda  and  CABALLERO-RODRIGUES, Alejandro. Case Report: Hernia de Amyand. Cir. parag. [online]. 2020, vol.44, n.3, pp.37-38. ISSN 2307-0420.

Amyand's hernia constitutes a rare type of inguinal herniation in which its content is the vermiform appendix, being uncommon to find an inflamed appendix inside the hernial sac, and exceptional to perform its preoperative diagnosis, with few cases described in the literature.

Given the rarity of the condition and the scarce existing medical literature, it is difficult to unify criteria on the optimal management of this pathology. Despite this, we consider that the best option is the reduction of the appendix to the interior of the abdominal cavity without exeresis of this in cases in which there is no concomitant appendicitis, together with a repair of the hernia defect according to the usual techniques.

We present a case of a 40-year-old male patient, without underlying pathology, with an intraoperative diagnosis of amyand hernia, whose surgical resolution was reduction of the appendix to the adbominal cavity and correction of the hernia defect with prosthetic mesh.

Keywords : Amyand's hernia; appendix; hernioplasty; Losanoff.

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