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First sliding Amyand hernia harbouring appendicular schistosomiasis: Case report
Department of General Surgery, Hamad Medical Corporation, Doha, Qatar.
Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar. (Individ och samhälle (VIDSOC))ORCID-id: 0000-0003-0961-1302
Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar.
Department of General Surgery, Hamad Medical Corporation, Doha, Qatar.
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2019 (engelsk)Inngår i: International journal of surgery case reports, ISSN 2210-2612, E-ISSN 2210-2612, Vol. 63, s. 143-146Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Amyand's hernia (AH) is rare, schistosomiasis of the appendix is very uncommon, and both conditions coexisting together is an extremely rare event. Pre-operative diagnosis of each of the two conditions is usually difficult. To the best of our knowledge, the current paper is first to report both these two conditions in coexistence. Presentation of case: A 31-year old man who had no comorbidities was admitted electively as a day case of non-complicated right indirect inguinal hernia. Further history and physical examination were unremarkable. Intraoperatively the patient was found to have right sliding AH with appendicular schistosomiasis (AS). The patient underwent Lichtenstein repair of the hernia with appendectomy. On follow up he was referred to infectious disease clinic, and the post-operative course was uneventful. Conclusions: Intraoperative identification of non-typical hernia sac before its opening should alert the surgeon to the possibility of sliding hernia and the presence of an organ as a part of the sac. Rare causes of appendicular masses like schistosomiasis granuloma should be considered in endemic areas or immigrants from these areas, despite the difficulty of preoperative diagnosis. Management should follow general guidelines of appendectomy, hernia repair and dealing with the associated pathology if present. 

sted, utgiver, år, opplag, sider
Elsevier, 2019. Vol. 63, s. 143-146
Emneord [en]
Case report, Inguinal hernia, Intestinal schistosomiasis, Tropical disease
HSV kategori
Forskningsprogram
Individ och samhälle VIDSOC
Identifikatorer
URN: urn:nbn:se:his:diva-17781DOI: 10.1016/j.ijscr.2019.09.014PubMedID: 31585325Scopus ID: 2-s2.0-85072758444OAI: oai:DiVA.org:his-17781DiVA, id: diva2:1359991
Tilgjengelig fra: 2019-10-10 Laget: 2019-10-10 Sist oppdatert: 2019-10-21bibliografisk kontrollert

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