Amyand hernia

Case contributed by Dr James Sheldon

Presentation

Incidental finding on staging CT for anal cancer.

Patient Data

Age: 78
Gender: Male
Modality: CT

There is soft tissue mass at the anus and distal rectum, only partially imaged. The majority of the bulk of anal tumour seen on the previous PET study has not been imaged. There is regional lymph node enlargement, with perirectal lymphadenopathy identified.

The gallbladder, spleen, pancreas and adrenal glands are normal. Prominent renal collecting system bilaterally with several parapelvic cysts, stable. The ureters are normal calibre. The bowel demonstrates uncomplicated colonic diverticular disease.

Note is made of the vermiform appendix coursing into the right inguinal canal ('Amyand Hernia')

Case Discussion

Amyand hernia is an uncommon form of inguinal hernia in which the vermiform appendix is located within the hernial sac. It is seen in less than 1% of inguinal hernia.

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Case Information

rID: 39300
Case created: 30th Aug 2015
Last edited: 30th Aug 2015
Inclusion in quiz mode: Excluded

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