A Case Report of the Herniation of the Appendix Through the Abdominal Wall Defect Presenting with Appendico-Cutaneous Fistula
Appendico-Cutaneous Fistula
DOI:
https://doi.org/10.31584/psumj.2022252606Keywords:
appendico-cutaneous fistula, appendix, incisional herniaAbstract
Objective: To report a case of the herniation of appendix through the abdominal wall defect presented with appendico-cutaneous fistula.
Material and Methods: This study was designed as a retrospective chart review using patient’s clinical data, imaging, endoscopic report, and treatment review.
Results: A 70-year-old male patient with a surgical history of small bowel resection due to small bowel intussusception 60 years ago presented with purulent discharge oozing from his surgical scar for two months. The diagnosis of appendico-cutaneous fistula was made by abdominal computer tomography scan and colonoscopy. The laparoscopic assisted open approach for appendectomy and abdominal wall repair was performed successfully.
Conclusion: The herniation of the appendix through the abdominal wall defect is uncommon. Very few cases have been reported. We presented a successful treatment of a patient who presented with appendico-cutaneous fistula from appendiceal herniation via incisional hernia.
References
Michalinos A, Moris D, Vernadakis S. Amyand’s hernia: a review. Am J Surg 2014;207:989-95.
Bittner R, Bain K, Bansal VK, Berrevoet F, Bingener-Casey J, Chen D, et al. Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A. Surg Endosc 2019;33:3069-139.
Konstantakos AK, Zollinger RM Jr. Repair of McBurney incisional hernias after open appendectomy. Curr Surg 2000;57:79-80.
Beltr n MA, Cruces KS. Incisional hernia after McBurney incision: retrospective case-control study of risk factors and surgical treatment. World J Surg 2008;32:596-601.
Rasmussen T, Fonnes S, Rosenberg J. Long-term complications of appendectomy: a systematic review. Scand J Surg 2018;107:189-96.
Patoulias D, Kalogirou M, Patoulias I. Amyand’s hernia: an up-to-date review of the literature. Acta Medica (Hradec Kralove) 2017;60:131-4.
Sharma H, Gupta A, Shekhawat NS, Memon B, Memon MA. Amyand’s hernia: a report of 18 consecutive patients over a 15-year period. Hernia 2007;11:31-5.
Sugrue C, Hogan A, Robertson I, Mahmood A, Khan W, Barry K. Incisional hernia appendicitis: a report of two unique cases and literature review. Int J Surg Case Rep 2013;4:256-8.
Burkhardt JH, Arshanskiy Y, Munson JL, Scholz FJ. Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. Radiographics 2011;31:E1-12.
Kler A, Hossain N, Singh S, Scarpinata R. Vermiform appendix within incisional hernia. BMJ Case Rep 2017:bcr2017221216.
Kane ED, Bittner KR, Bennett M, Romanelli JR, Seymour NE, Wu JJ. A case report of unexpected pathology within an incarcerated ventral hernia. Int J Surg Case Rep 2017;38:61-5.
Singh MP, Samaiya A, Sainia TK, Saxena A. Spontaneous appendico-cutaneous fistula: an unusual presentation of retroperitoneal appendicular perforation associated with psoas abscess. J Surg Case Rep 2016:rjw112.
Koak Y, Jeddy TA, Giddings AE. Appendico-cutaneous fistula. J R Soc Med 1999;92:639-40.
Bulus H, Ergül B, Morkavuk B, Yavuz A, Akkoca M, Yildiz M,K klü S. A very rare complication of acute appendicitis: appendicocutaneous fistula. Am Surg 2012;78:E253-4.
Wijers O, Conijn A, Wiese H, Sjer M. Appendico-cutaneous fistula 20 years after groin hernia repair with a polypropylene plug. BMJ Case Rep 2013:bcr2013009801.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Author and Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
