Ulus Travma Acil Cerrahi Derg. 2022; 28(12): 1744-1746 | DOI: 10.14744/tjtes.2021.35724

Incarcerated appendix epiploica in a right inguinal hernia sac

Aykhan Abbasov¹, Hakan Teoman Yanar^2
1Department of General Surgery, Liv Hospital Ulus, Ýstanbul-Türkiye
²Department of General Surgery, Ýstanbul University Ýstanbul Faculty of Medicine, Ýstanbul-Türkiye

Appendix epiploica without a colon in the hernia sac is a rare condition, which is even rarer if it has hypertrophy and presents as an irreducible hernia. We describe a case of appendix epiploica in a 37-year-old male patient with a strangulated right inguinal hernia that was herniated to the right inguinal canal. Considering the superiority of laparoscopy to open technique for viewing the hernia contents, we planned laparoscopic transabdominal preperitoneal surgery. In the exploration, an indirect hernia was observed in the right groin. Inside was the strangulated appendages epiploica, which extended from the sigmoid colon wall. Anterior wall inguinal hernioplasty was performed. In conclusion, it should not be ignored that there may be appendix epiploica within the hernia sac in inguinal hernias and laparoscopic approaches should be the treatment method of choice.

Keywords: Appendix epiploica, strangulated inguinal hernia, transabdominal preperitoneal approach.

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Sað kasýk fýtýðý içinde boðulmuþ apendiks epiploika

Aykhan Abbasov¹, Hakan Teoman Yanar^2
1Liv Hospital Ulus, Genel Cerrahi Kliniði, Ýstanbul
²Ýstanbul Üniversitesi Ýstanbul Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Ýstanbul

Fýtýk kesesinde tek baþýna apendiks epiploika nadirendir, bununla birlikte hipertrofisi varsa ve boðulmuþ bir fýtýk olarak ortaya çýkarsa daha da nadir görülen bir durumdur. Otuz yedi yaþýnda erkek hastada sað kasýk kanalýna herniye olmuþ apendiks epiploika olgusunu sunuyoruz. Laparoskopinin fýtýk içeriðini görüntülemek için açýk tekniðine üstünlüðünü göz önünde bulundurarak laparoskopik Trans-Abdominal Pre-Peritoneal cerrahi planladýk. Yapýlan incelemede sað kasýkta indirekt herni görüldü. Ýçeride boðulmuþ apendiks epiploika vardý ve sigmoid kolon duvarýndan uzanýyordu. Ön duvar inguinal hernioplasti yapýldý. Sonuç olarak kasýk fýtýklarýnda fýtýk kesesi içinde apendiks epiploika olabileceði göz ardý edilmemeli ve laparoskopik yaklaþýmlar tercih edilecek tedavi yöntemi olmalýdýr.

Anahtar Kelimeler: Apendiks epiploika, etrangule inguinal herni, transabdominal preperitoneal yaklaþým.

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