Claudius Amyand hernia: About 3 Cases at Niamey National Hospital.

Abstract

Introduction :
Claudius Amyand hernia is defined as a hernia of the abdominal wall whose sac contains the normal or pathological vermicular appendix. The frequency of this condition has not yet been established. Diagnosis is often intraoperative. The aim of this study was to describe the diagnostic circumstances and therapeutic modalities of three cases of Claudius Amyand hernia.

Observation :
We report the case of three male patients aged 50, 38 and 48 respectively, with no notable personal or family pathological history, admitted to the emergency department with painful, non-reducible right inguino-scrotal swelling. Clinical examination revealed an acute occlusive syndrome in all three patients; the rest of the clinical examination was unremarkable. Biological tests were normal in one patient and abnormal in the other two. No imaging examinations were performed. The diagnosis of a strangulated right inguino-scrotal hernia was retained for each of the 3 patients. Intraoperatively, the diagnosis was changed to Claudius Amynad hernia. Surgical management consisted of appendectomy and Bassini herniorrhaphy in two cases, and ileocolic resection in one patient. Postoperative management was straightforward, and all patients had a favourable outcome.

Conclusion :
Claudius Amyand hernia (CAH) is rare. An abdominal CT scan is used to make the diagnosis. In our context, the diagnosis is frequently made intraoperatively.