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A complicated case of amyand ’ s hernia involving a perforated appendix and its management using minimally invasive laparoscopic surgery: A case report

View Article: PubMed Central - PubMed

ABSTRACT

Laparoscopic surgery is frequently diagnostic as well as therapeutic in equivocal cases of right iliac fossa pain.

Further delay in the decision of laparoscopic exploration in case of perforated Amyand’s hernia would mandate an open exploration due to generalised peritonitis.

Successful management of complicated case of Amyand’s hernia involving a perforated appendix is feasible using a laparoscopic appendectomy approach.

Successful management of complicated case of Amyand’s hernia involving a perforated appendix is feasible using a laparoscopic appendectomy approach.

No MeSH data available.


Related in: MedlinePlus

The appendix and omentum were retracted from the internal ring with congestion and inflammation at the interior border of the ring.
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fig0025: The appendix and omentum were retracted from the internal ring with congestion and inflammation at the interior border of the ring.

Mentions: On accessing the abdomen, the entire intraperitoneum was visualised. An amalgamated mass of small bowel and omentum in the RIF was identified with a pyogenic membrane. The bowel was slightly released from the mass by irrigation and careful blunt dissection. Subsequently, the omentum was released in which it revealed a herniating appendix into the right internal ring. Following delicate retraction of the appendix through the hernial defect, a gangrenous appendix with a perforated tip was demonstrated (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5). Appropriately, appendectomy and irrigation washout of the abdomen with normal saline was performed. Finally, a Robinson drain was placed in situ.


A complicated case of amyand ’ s hernia involving a perforated appendix and its management using minimally invasive laparoscopic surgery: A case report
The appendix and omentum were retracted from the internal ring with congestion and inflammation at the interior border of the ring.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5121154&req=5

fig0025: The appendix and omentum were retracted from the internal ring with congestion and inflammation at the interior border of the ring.
Mentions: On accessing the abdomen, the entire intraperitoneum was visualised. An amalgamated mass of small bowel and omentum in the RIF was identified with a pyogenic membrane. The bowel was slightly released from the mass by irrigation and careful blunt dissection. Subsequently, the omentum was released in which it revealed a herniating appendix into the right internal ring. Following delicate retraction of the appendix through the hernial defect, a gangrenous appendix with a perforated tip was demonstrated (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5). Appropriately, appendectomy and irrigation washout of the abdomen with normal saline was performed. Finally, a Robinson drain was placed in situ.

View Article: PubMed Central - PubMed

ABSTRACT

Laparoscopic surgery is frequently diagnostic as well as therapeutic in equivocal cases of right iliac fossa pain.

Further delay in the decision of laparoscopic exploration in case of perforated Amyand’s hernia would mandate an open exploration due to generalised peritonitis.

Successful management of complicated case of Amyand’s hernia involving a perforated appendix is feasible using a laparoscopic appendectomy approach.

Successful management of complicated case of Amyand’s hernia involving a perforated appendix is feasible using a laparoscopic appendectomy approach.

No MeSH data available.


Related in: MedlinePlus