{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:25:23Z","timestamp":1768433123296,"version":"3.49.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":309,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>An Amyand\u2019s hernia is a rare disease where a vermiform appendix is found within an inguinal hernia sac. It is reported in the literature as having an incidence between 0.4%\u20131.0% of reported hernia cases. Typically, an incidental finding, Amyand\u2019s hernia is consequently found more frequently intra-operatively rather than preoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>This case is a recount of a 56-year-old male, who presented in an outpatient setting for the evaluation of right inguinal pain and bulge. The patient was diagnosed with a vermiform appendix within the indirect hernia. The patient underwent elective repair of his inguinal hernia via Transabdominal Preperitoneal (TAPP) approach of the hernia with avoidance of appendectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>An Amyand\u2019s hernia presents a challenging diagnosis and the treatment algorithm is contingent on the condition of the appendix in individual cases. This case presents a Type 1 Amyand\u2019s hernia that was repaired through laparoscopic approach using prosthetic mesh. The aim of this case study highlights the approach to surgical decision making in the diagnosis and treatment of Amyand\u2019s hernia proposed in the current literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case presents a rare condition known as Amyand\u2019s hernia followed by a discussion on the epidemiology, diagnostic workup, and treatment options. Treatment is dependent on the state of the appendix found in the hernia sac and the clinical scenario. Comprehensive literature review shows that the true prevalence of this disease is lower than classically described and still has no clear standardized approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.11.021","type":"journal-article","created":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T11:18:37Z","timestamp":1604747917000},"page":"422-425","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Appendectomy or not in middle-aged male with non-inflamed appendix in Amyand\u2019s hernia? Case report and literature review\u2606"],"prefix":"10.1097","volume":"77","author":[{"given":"David S.","family":"Millay","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiedozie Max","family":"Ofoma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lionel R.","family":"Brounts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-94-20260114","doi-asserted-by":"crossref","first-page":"131","DOI":"10.14712\/18059694.2018.7","article-title":"Amyand\u2019s hernia: an up-to-date review of the literature","volume":"60","author":"Patoulias","year":"2017","journal-title":"Acta Med. (Hradec Kralove"},{"key":"R2-94-20260114","doi-asserted-by":"crossref","first-page":"551","DOI":"10.5505\/ejm.2019.82787","article-title":"Management of incidental Amyand hernia with a case report","volume":"24","author":"Kalayci","year":"2019","journal-title":"East. J. Med"},{"key":"R3-94-20260114","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1016\/j.amjsurg.2013.07.043","article-title":"Amyand\u2019s hernia: a review","volume":"207","author":"Michalinos","year":"2014","journal-title":"Am. J. Surg"},{"key":"R4-94-20260114","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ijscr.2018.04.034","article-title":"Amyand\u2019s hernia: a case report and review of the literature","volume":"47","author":"Shaban","year":"2018","journal-title":"Int. J. Surg. Case Rep"},{"key":"R5-94-20260114","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.ijscr.2018.02.011","article-title":"Amyand\u2019s hernia with acute gangrenous appendicitis and cecal perforation: a case report and review of the literature","volume":"44","author":"Kromka","year":"2018","journal-title":"Int. J. Surg. Case Rep"},{"key":"R6-94-20260114","first-page":"44","article-title":"Amyand\u2019s hernia: role of CT for a correct diagnosis","volume":"40","author":"Drago","year":"2019","journal-title":"G. Chir"},{"key":"R7-94-20260114","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s10029-020-02215-5","article-title":"Implications of the presence of the vermiform appendix inside an inguinal hernia (Amyand\u2019s hernia): a systematic review of the literature","volume":"24","author":"Papaconstantinou","year":"2020","journal-title":"Hernia"},{"key":"R9-94-20260114","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.tjem.2019.01.004","article-title":"Appendiceal carcinoid tumor within Amyand\u2019s hernia: a case report and review of the literature","volume":"19","author":"Sarici","year":"2019","journal-title":"Turk. J. Emerg. Med"},{"key":"R10-94-20260114","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1016\/j.jpedsurg.2015.11.010","article-title":"Amyand\u2019s hernia: 11years of experience","volume":"51","author":"Cigsar","year":"2016","journal-title":"J. Pediatr. Surg"},{"key":"R11-94-20260114","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1186\/s13256-016-1046-9","article-title":"Amyand\u2019s hernia with appendicitis masquerading as Fournier\u2019s gangrene: a case report and review of the literature","volume":"10","author":"Rajaguru","year":"2016","journal-title":"J. Med. Case Rep"},{"key":"R13-94-20260114","doi-asserted-by":"crossref","first-page":"248","DOI":"10.4103\/jiaps.JIAPS_226_16","article-title":"Neonatal appendicitis and incarcerated inguinal hernia: case report and review of the literature","volume":"22","author":"Fascetti-Leon","year":"2017","journal-title":"J. Indian Assoc. Pediatr. Surg"},{"key":"R14-94-20260114","doi-asserted-by":"crossref","first-page":"151","DOI":"10.4103\/0972-9941.147368","article-title":"Amyand\u2019s hernia: our experience in the laparoscopic era","volume":"11","author":"Sahu","year":"2015","journal-title":"J. Minim. Access Surg"},{"key":"R15-94-20260114","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/BF01195318","article-title":"Laparoscopic reduction of Amyand\u2019s hernia","volume":"3","author":"Vermillion","year":"1999","journal-title":"Hernia"},{"key":"R16-94-20260114","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1590\/0102-6720201700040014","article-title":"Amyand\u2019s hernia: our experience and review of literature","volume":"30","author":"Desai","year":"2017","journal-title":"Arq. Bras. Cir. 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