19 research outputs found
Septic Mesenteric Venous Thrombophlebitis: A Rare Complication of Acute Appendicitis
Mesenteric venous thrombophlebitis represents a very rare complication of acute appendicitis. Based on the findings of a 45-year-old patient with mesenteric venous thrombophlebitis due to acute appendicitis, we herein describe the diagnostic difficulties and therapeutic options in this uncommon disease. The treatment in our case consisted of simple appendectomy and perioperative anticoagulation therapy
Amyand's hernia: a review
BACKGROUND: The presence of a vermiform appendix in an inguinal hernia
sac is known as Amyand’s hernia. The aim of this systematic review was
to gather information concerning its prevalence, clinical image,
diagnosis, and treatment.
DATA SOURCES: The MEDLINE database was thoroughly searched using the
keyword “Amyand’s hernia.” Additional articles were gathered and
evaluated.
CONCLUSIONS: The true prevalence of Amyand’s hernia seems lower than
classically described. Its usual clinical image is identical to that of
an incarcerated hernia, and thus it is almost impossible to diagnose
preoperatively, although ultrasound and computed tomography can help.
Treatment includes hernioplasty with or without appendectomy and/or mesh
repair depending on the vermiform appendix’s inflammation status, the
patient’s general condition, and other factors. Amyand’s hernia
generally has a good prognosis, although serious complications have been
described. Surgeons should be prepared if they encounter Amyand’s hernia
because appropriate treatment ensures hernia repair without
complications and with avoidance of recurrence. (C) 2014 Elsevier Inc.
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