A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report
An Amyand’s hernia is characterised as the presence of the appendix in an inguinal hernial sac. During laparoscopic cholecystectomy for gallbladder polyps, an incidental Amyand’s hernia was discovered in a 75-year-old female patient. On examination, the hernia contained an appendiceal mucocele but n...
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Format: | Article |
Language: | English |
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Korean Society of Coloproctology
2023-04-01
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Series: | Annals of Coloproctology |
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Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00430-0061.pdf |
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author | Hani Atiqah Saim Ian Chik Fahrol Fahmy Jaafar Zamri Zuhdi Razman Jarmin Azlanudin Azman |
author_facet | Hani Atiqah Saim Ian Chik Fahrol Fahmy Jaafar Zamri Zuhdi Razman Jarmin Azlanudin Azman |
author_sort | Hani Atiqah Saim |
collection | DOAJ |
description | An Amyand’s hernia is characterised as the presence of the appendix in an inguinal hernial sac. During laparoscopic cholecystectomy for gallbladder polyps, an incidental Amyand’s hernia was discovered in a 75-year-old female patient. On examination, the hernia contained an appendiceal mucocele but no evidence of perforation. An open appendicectomy with tension-free mesh repair was performed for the hernia. The histopathological report of the appendix was a low-grade appendiceal mucinous neoplasm (LAMN), an entity that is just as rare as an Amyand’s hernia. The patient had the right inguinal swelling for over 10 years but it was thought to be an inguinal intramuscular cyst as reported on a previous abdominal ultrasound. Mucocele of the appendix may have a benign or malignant appendiceal progress, leading to individualised diagnosis and treatment. We review an Amyand’s hernia with LAMN and discuss the asymptomatic tendency yet malignant potential of appendiceal mucoceles along with treatment strategies. |
first_indexed | 2024-04-09T13:58:18Z |
format | Article |
id | doaj.art-daeac09f4dd84dc1a348cb5ac24fdf46 |
institution | Directory Open Access Journal |
issn | 2287-9714 2287-9722 |
language | English |
last_indexed | 2024-04-09T13:58:18Z |
publishDate | 2023-04-01 |
publisher | Korean Society of Coloproctology |
record_format | Article |
series | Annals of Coloproctology |
spelling | doaj.art-daeac09f4dd84dc1a348cb5ac24fdf462023-05-08T00:41:03ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-04-0139218318710.3393/ac.2021.00430.00611872A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case reportHani Atiqah Saim0Ian Chik1Fahrol Fahmy Jaafar2Zamri Zuhdi3Razman Jarmin4Azlanudin Azman5 Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MalaysiaAn Amyand’s hernia is characterised as the presence of the appendix in an inguinal hernial sac. During laparoscopic cholecystectomy for gallbladder polyps, an incidental Amyand’s hernia was discovered in a 75-year-old female patient. On examination, the hernia contained an appendiceal mucocele but no evidence of perforation. An open appendicectomy with tension-free mesh repair was performed for the hernia. The histopathological report of the appendix was a low-grade appendiceal mucinous neoplasm (LAMN), an entity that is just as rare as an Amyand’s hernia. The patient had the right inguinal swelling for over 10 years but it was thought to be an inguinal intramuscular cyst as reported on a previous abdominal ultrasound. Mucocele of the appendix may have a benign or malignant appendiceal progress, leading to individualised diagnosis and treatment. We review an Amyand’s hernia with LAMN and discuss the asymptomatic tendency yet malignant potential of appendiceal mucoceles along with treatment strategies.http://coloproctol.org/upload/pdf/ac-2021-00430-0061.pdfneoplasmsmucoceleappendixherniacase reports |
spellingShingle | Hani Atiqah Saim Ian Chik Fahrol Fahmy Jaafar Zamri Zuhdi Razman Jarmin Azlanudin Azman A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report Annals of Coloproctology neoplasms mucocele appendix hernia case reports |
title | A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report |
title_full | A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report |
title_fullStr | A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report |
title_full_unstemmed | A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report |
title_short | A rare presentation of low-grade appendiceal mucinous neoplasm within an amyand’s hernia: a case report |
title_sort | rare presentation of low grade appendiceal mucinous neoplasm within an amyand s hernia a case report |
topic | neoplasms mucocele appendix hernia case reports |
url | http://coloproctol.org/upload/pdf/ac-2021-00430-0061.pdf |
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