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...

Full description

Bibliographic Details
Main Authors: Hani Atiqah Saim, Ian Chik, Fahrol Fahmy Jaafar, Zamri Zuhdi, Razman Jarmin, Azlanudin Azman
Format: Article
Language:English
Published: Korean Society of Coloproctology 2023-04-01
Series:Annals of Coloproctology
Subjects:
Online Access:http://coloproctol.org/upload/pdf/ac-2021-00430-0061.pdf
_version_ 1797831781452349440
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
work_keys_str_mv AT haniatiqahsaim ararepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT ianchik ararepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT fahrolfahmyjaafar ararepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT zamrizuhdi ararepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT razmanjarmin ararepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT azlanudinazman ararepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT haniatiqahsaim rarepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT ianchik rarepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT fahrolfahmyjaafar rarepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT zamrizuhdi rarepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT razmanjarmin rarepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport
AT azlanudinazman rarepresentationoflowgradeappendicealmucinousneoplasmwithinanamyandsherniaacasereport