Work

A low appendiceal mucinous neoplasm lesion in an inflamed appendix within an inguinal hernia

Year: 2022

Type: article

Abstract: Amyand's hernia, an incarcerated appendix inside an inguinal hernia, accounts for <1% of hernias in children and even less in adults. Similarly, low-grade appendiceal mucinous (LAMN) lesions are only found in <1% of removed appendices. We present the case of a 72-year-old man with a 15-year history of a large right inguinoscrotal hernia that presented with right lower quadrant pain, was found by computed tomography imaging to have an incarcerated appendix with a large fluid collection, and was post-operatively diagnosed with an LAMN lesion. Although our case is rare due to the simultaneity of the Amyand's hernia and LAMN conditions, each separate condition is prevalent enough for most surgical providers to encounter at least one of these. For our case, we discuss the decisions made in the pre-operative and post-operative management and relevant literature.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjab489

Authors: Daniel J Arenas, Paul T Hernandez, Jasmine Hwang, Divyansh Agarwal, Alexander K Warshauer, Daniel N Holena

Institutions: University of Pennsylvania, Hospital of the University of Pennsylvania, Massachusetts General Hospital, Medical College of Wisconsin

Language: English

Topic: Intraperitoneal and Appendiceal Malignancies

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $903