Authors: Camara FL, Diakite S, Toure I, Sylla H, Balde AK, Diakite SY, Diallo AA, Balde TM, Soromou G, Traore M, Bangoura D, Yattara A, Barry AM, Soumaoro LT, Fofana H, Toure A.
Introduction: Amyand's hernia is a rare disease defined by the inclusion of the vermiform appendix in the hernia sac. The aim of our study was to discuss two (2) cases of Amyan strangulated hernia treated at the Donka National Hospital.
Observation 1: 65-year-old patient, admitted for painful right inguinoscrotal swelling and vomiting, evolving for 72 hours. History of right inguinal herniorrhaphy two years ago. The examination noted a deterioration in general condition with fever at 38.5°C; a tachycardia at 100/min. Biology showed hyper leukocytosis at 15 Giga/l. Ultrasound was in favor of hernia strangulation with necrosis. During surgery, a gangrenous and perforated appendix was found in the hernia sac. We performed an appendectomy and herniorrhaphy using the Bassini technique. The postoperative course was simple; the patient reviewed five (5) months did not present any recurrence.
Observation 2: 55-year-old patient, admitted for painful right inguinoscrotal swelling and vomiting, evolving for 5 days. Alcoholic-smoking. The physical examination noted an afebrile patient (36.5°C), normo cardia (88 pulses/ min) and normo tense (TA=130/80 mmhg), painful and irreducible. Biology was within normal limits. During the operation we found a phlegmonous appendix in the sac and performed an appendectomy and herniorrhaphy using the Bassini technique. The postoperative course was simple. The patient reviewed five (5) months did not present any recurrence.
Conclusion: Amyand's hernia is a rare entity often diagnosed intraoperatively. The treatment is better codified taking into account the problems of contamination linked to appendectomy and hernia repair.
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