World Journal of Laparoscopic Surgery

Register      Login

VOLUME 17 , ISSUE 1 ( January-April, 2024 ) > List of Articles

CASE REPORT

Co-existent Classical Maydl's and Amyand's Hernias: A Rare Case Report

Shashank Shah, Sushil Kumar Kharat, Elmutaz Abdalla Mekki Kanani, Adrian Gerard

Keywords : Amyand, Case report, Inguinal hernia, Laparoscopy, Maydl

Citation Information : Shah S, Kharat SK, Kanani EA, Gerard A. Co-existent Classical Maydl's and Amyand's Hernias: A Rare Case Report. World J Lap Surg 2024; 17 (1):52-54.

DOI: 10.5005/jp-journals-10033-1601

License: CC BY-NC 4.0

Published Online: 14-02-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: The aim of this case report is to highlight the advantages of laparoscopy in the management of incarcerated, obstructed, and strangulated hernia. Background: Inguinal hernias account for three-quarters of all abdominal wall hernias. They may present as emergencies and require quick and accurate diagnosis followed by prompt management in order to prevent undesirable consequences. The surgeon has to select the appropriate treatment approach from limited options. In this case report we are aiming to solidify the laparoscopy as an additional weapon in the surgeon's armamentarium. Case description: This is a case of an unusual type of obstructed indirect inguinal hernia with impending strangulation. Diagnostic laparoscopy findings revealed a Maydl's hernia and an adherent inflamed appendix in a long-standing congenital inguinal indirect hernia. In addition to this, extensive small bowel adhesions were also seen. Conclusion: This case highlights the superiority of laparoscopy compared to clinical/image judgment in incarcerated, obstructed, or strangulated hernia.


HTML PDF Share
  1. Jenkins JT, Dwyer PJ. Inguinal hernias. BMJ 2008;336:269. DOI: 10.1136/mbj.39450.428275.AD.
  2. Simons MP, Aufenacker T, Bay-Nielsen M, et al. European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009;13:343–403. DOI: https://doi.org/10.1007/s10029-009-0529-7.
  3. Michalinos A, Moris D, Vernadakis S. Amyand's hernia: A review. Am J Surg. 2014;207(6):989–995. DOI: 10.1016/j.amjsurg.2013.07.043.
  4. Venkatesh M, Sharma R, Bell D, et al. Maydl hernia. Reference article, Radiopaedia.org (Accessed on 04 Nov 2023). DOI: https://doi.org/10.53347/rID-25969.
  5. Narang RR, Pathania OP, Punjabi PP, et al. Unusual Maydl's hernia (a case report). J Postgrad Med 1987;33:137. PMID: 3430401.
  6. Weledji EP, Mokake M, Ngowe MN. A rare presentation of Maydl's hernia. Case Rep Surg 2014:184873. DOI: 10.1155/2014/184873.
  7. Manatakis DK, Tasis N, Antonopoulou MI, et al. Revisiting Amyand's hernia: A 20-year systematic review. World J Surg 2021;45(6): 1763–1770. DOI: 10.1007/s00268-021-05983-y.
  8. Gao Y, Zhang T, Zhang M, et al. Amyand's hernia: A 10-year experience with 6 cases. BMC Surg 2021 23;21(1):315. DOI: 10.1186/s12893-021-01306-z.
  9. Perrotti S, Bosco D, Miano D, et al. Incarcerated Amyand's hernia: A case report. Int J Surg Case Rep 2018;51:265–267. DOI: 10.1016/j.ijscr.2018.08.064.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.