Evaluation of amyand’s hernia patients: experience report

Abstract

Objective: Report the experience of evaluating two patients with Amyand hernia as a strategy to identify this rare surgical condition.  Experience Report: A 4-year-old patient with pain in the right inguinal region with irreducible tumor. The child was pale, prostrated and with leukocytosis and left deviation, being submitted to inguinotomy with diagnosis of Amyand hernia during surgery. The second patient, a 74-year-old man, presented abdominal pain in the lower right quadrant irradiated to the scrotum with a palpable and irreducible tumor in the right inguinal region. Laboratory tests showed leukocytosis with deviation to the left and physical examination showed mild dehydration and low fever. In the operating room, a hernia sac with incarcerated contents was found, which was an inflamed caecal appendix, and the diagnosis of acute appendicitis was later confirmed. Final Considerations: The reported cases become important due to their rarity and the association between strangulated right inguinal hernia and acute appendicitis, assisting the medical community for proper management.