Diagnostic approach to Amyand's hernia

a comparative analysis of imaging findings by ultrasonography and computed tomography

Abstract

INTRODUCTION: Amyand's hernia is a rare condition in which the cecal appendix protrudes through an inguinal hernia. This anomaly presents a range of clinically challenging manifestations for diagnosis and treatment, and its approach has been a topic of discussion for centuries since its first description by Claude Amyand in 1735. OBJECTIVE: The purpose of this study is to investigate the imaging findings related to Amyand's hernia, examining its various and multifaceted presentations. A narrative review of scientific articles was conducted to provide a comprehensive overview of these findings, aiming to deepen the understanding of this complex clinical condition. MATERIAL AND METHODS: A narrative review was conducted using a theoretical approach based on a retrospective analysis of the literature. Relevant articles from the last 20 years were selected from electronic databases using specific search terms. Inclusion and exclusion criteria were applied to ensure the relevance and validity of the included studies. RESULTS: The review revealed a wide range of imaging findings associated with Amyand's hernia, ranging from the presence of the appendix in the inguinal hernia to complications such as inflammation and necrosis. The importance of using ultrasound and computed tomography for accurate assessment and treatment guidance is highlighted. DISCUSSION: In the analysis of the results, the challenging diagnostic nature of Amyand's hernia is highlighted, emphasizing the pressing need for an interdisciplinary approach to its management. The discussion emphasizes the crucial importance of a thorough clinical assessment and effective integration between clinical practice and radiology, essential for ensuring accurate and individualized diagnosis and treatment. CONCLUSION: This study provides an analysis of the imaging findings of Amyand's hernia, highlighting the complexity of this condition. The importance of integration between clinical and radiological aspects for accurate diagnosis and effective treatment is emphasized. This information is crucial for guiding future research and clinical practice in this specific field, significantly contributing to the advancement of knowledge and improvement of care for patients with Amyand's hernia.