Perforated Amyand hernia with an adenocarcinoma tumour presenting as a groin abscess.

Autor:	Gbegli E; Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom., Miremadi A; Department of Histopathology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom., Serrao EM; Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom.; Department of Radiology, University of Cambridge, Cambridge CB2 0QQ, United Kingdom., Sadler TJ; Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom.
Jazyk:	angličtina
Zdroj:	BJR case reports [BJR Case Rep] 2024 Mar 06; Vol. 10 (2), pp. uaae008. Date of Electronic Publication: 2024 Mar 06 (Print Publication: 2024).
DOI:	10.1093/bjrcr/uaae008
Abstrakt:	An Amyand hernia is an incarcerated inguinal hernia containing the appendix with or without appendicitis. This is a rare form of inguinal hernia, making up approximately 0.4%-1% of all cases. As with any hernia, this may become strangulated at any time, leading to the loss of blood supply and further development of gangrene and complications. Clinically, this can present in a manner indistinguishable from other types of inguinal hernias. In addition, the appendix can be affected by its own set of pathological processes, such as infection, inflammation, and malignancy. Not uncommonly both hernial and appendiceal complications coexist. The clinical diagnosis of an Amyand hernia remains challenging due to its low incidence and indistinct clinical presentation. At present, surgery is usually diagnostic and therapeutic. However, there is a growing number of recent reports showing the invaluable role of imaging on the diagnosis of Amyand hernias and associated complications. The correct and timely recognition of their imaging features including complications can optimize and expedite patient care by guiding diagnosis, treatment, and prognosis. Here, we report for the first time the radiological and pathological findings of a patient with a unique complicated Amyand hernia, which posed a diagnostic challenge for the clinical and radiological teams. Competing Interests: No conflicts of interest to disclosure. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology.)
Databáze:	MEDLINE
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