Erol, V Ege Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Yoldaş, T Ege Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Kardaşlar, B Ege Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey , Çalışkan, C Ege Üniversitesi - Tıp Fakültesi - Genel Cerrahi Anabilim Dalı, Turkey

Amyand’s hernia that caused necrotizing fasciitis of the abdominal wall

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Amyand s hernia is a rare clinical condition and is defined as the presence of the appendix vermiformis in the hernia sac. The appendix found in the hernia sac might be normal, inflamed, perforated or incarcerated. Clinically, Amyand s hernia, and the inflammation of the appendix due to it, may be confused with a strangulated or incarcerated hernia. Because symptoms of the incarcere hernia can mask the symptoms of acute appendicitis, preoperative diagnosis is somewhat difficult. An inflamed appendix in the hernia sac can be detected only by opening the hernia sac. Ultrasound and computed tomography are used efficiently in diagnosis. Treatment is surgical and the most appropriate method is appendectomy and hernia repair through an inguinal incision. In this case report, we aimed to present a patient who was operated on prediagnosed as a incarcerated inguinal hernia, and peroperatively diagnosed as having Amyand s hernia causing necrotizing fasciitis of the abdominal wall.

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Inguinal hernia , perforated appendicitis , Amyand s hernia , emergency treatment

Ege Journal Of Medicine

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