A rare presentation of caviar appendix in an Amyand’s hernia
NR 1, Reynu R 1, Zairul MA 1, Kosai NR 1, Levin KB 1, Das S 2
1 Department of Surgery, 2 and Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
ABSTRACT
Amyand’s hernia is a rare condition where the appendix is found within the sac of an inguinal hernia. The occurrence of an appendicular neoplasm within such hernia is even rarer. We highlight the case of a 70-year-old male who presented with an appendicular neoplasm masquerading as a strangulated inguinal hernia. The rarity and heterogenic clinico-pathological presentation of an appendiceal neoplasm renders it potentially lethal in the hands of an unassuming hernia surgeon.
Keywords: Appendicectomy, hernia, mucinous cystadenoma, mucocoele, mesh repair
Correspondence author: Reynu Rajan, Minimally invasive, Upper Gastrointestinal and Bariatric Surgery Unit, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia. Tel: +6-03-91456202
E mail: dr.reynu@gmail.com
Brunei Int Med J. 2015; 11 (4): 209-213