Nüks fıtık kesesi içerisinde apendiks (Amyand herni)
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Tarih
2017
Yazarlar
Dergi Başlığı
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amyand herni enflame, perfore ya da normal apendiksin fıtık kesesi içerisinde bulunması olarak tarif edilmektedir. Kasık fıtıklarının%1 ini oluşturmaktadır ve ameliyat öncesi tanı konması zordur. Sağ kasık fıtığı nedeni 2 yıl önce ile dış merkezde meshli onarımişlemi uygulanan 67 yaşında erkek hasta, yaklaşık 2 aydır olan sağ kasık bölgesinde ağrı, öksürmekle, ıkınmakla belirginleşen şişlikşikâyeti ile kliniğimize başvurdu. Nüks inguinal herni nedeni ile operasyonu planlanan hastada ameliyat esnasında fıtık kesesi içerisindeapendiks dokusuna rastlandı. Görünümü normal olması üzerine apendektomi yapılmadı. Fıtığa gerilimsiz mesh hernioplastiişlemi uygulandı. Ameliyat sonrası 1. günde sorunsuz şekilde taburcu edildi. Amyand herni tanısı genelde ameliyat esnasındakonan, kendisine özgü semptomları olmayan nadir görülen bir fıtık şeklidir. Bu olgu sunumunda nüks nedeni ile opere edilenbir hastada dahi fıtık kesesi içerisinde apendiksle karşılaşılabileceği gösterilmiş ve Amyand hernisinin literatür eşliğinde gözdengeçirilmesi amaçlanmıştır.
Amyand’s hernia refers to the condition in which an inflamed, perforated, or normal appendix is present in the hernia sac. Itaccounts for 1% of all inguinal hernias and its preoperative diagnosis in patients is difficult. A 67-year-old male patient who underwentright-sided inguinal hernia repair with a mesh approximately 2 years before at another healthcare center was referredto our clinic with complaints of pain in his right inguinal area and swelling, which became evident while coughing or straining,for approximately 2 months. A surgical procedure to repair his recurrent inguinal hernia was planned, and appendiceal tissue wasobserved in the hernia sac during the procedure. Appendectomy was not performed because the appendix was observed to benormal. Tension-free mesh hernioplasty was performed. The patient was discharged on postoperative day 1, without any complications.Amyand’s hernia is generally intraoperatively diagnosed and is a rare form of hernia with no specific symptoms. In this casereport, we showed that despite the patient undergoing a surgical procedure, the appendix was present in the hernia sac becauseof recurrence, and we aimed at reviewing Amyand’s hernia with the literature.
Amyand’s hernia refers to the condition in which an inflamed, perforated, or normal appendix is present in the hernia sac. Itaccounts for 1% of all inguinal hernias and its preoperative diagnosis in patients is difficult. A 67-year-old male patient who underwentright-sided inguinal hernia repair with a mesh approximately 2 years before at another healthcare center was referredto our clinic with complaints of pain in his right inguinal area and swelling, which became evident while coughing or straining,for approximately 2 months. A surgical procedure to repair his recurrent inguinal hernia was planned, and appendiceal tissue wasobserved in the hernia sac during the procedure. Appendectomy was not performed because the appendix was observed to benormal. Tension-free mesh hernioplasty was performed. The patient was discharged on postoperative day 1, without any complications.Amyand’s hernia is generally intraoperatively diagnosed and is a rare form of hernia with no specific symptoms. In this casereport, we showed that despite the patient undergoing a surgical procedure, the appendix was present in the hernia sac becauseof recurrence, and we aimed at reviewing Amyand’s hernia with the literature.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Amyand, Apandisit, Herni, Amyand’s Hernia, Appendicitis, Hernia
Kaynak
European Journal of Therapeutics
WoS Q Değeri
Scopus Q Değeri
Cilt
23
Sayı
1
Künye
Taşcı, H. İ., Erikoğlu, M. (2017). Nüks fıtık kesesi içerisinde apendiks (Amyand herni). European Journal of Therapeutics, 23, 1, 36-38.
