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Case Report
 
A rare case of low-grade appendiceal mucinous neoplasm within an incarcerated Amyand’s hernia
 
Diana Fernandes1, Maria Olim Sousa1, Ricardo Viveiros1, Sara Silva1, Susana Nóbrega2, Laurentina Silva2
 
1MD, General Surgery Resident, General Surgery Department, Funchal Central Hospital, SESARAM, E.P.E., Funchal, Madeira, Portugal
2MD, General Surgery Specialist, General Surgery Department, Funchal Central Hospital, SESARAM, E.P.E., Funchal, Madeira, Portugal

Article ID: 100035CRINTDF2017
doi:10.5348/crint-2017-35-CR-4

Address correspondence to:
Diana Fernandes
Avenida Luís de Camões n. 57
Funchal, Madeira
Portugal

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How to cite this article
Fernandes D, Sousa MO, Viveiros R, Silva S, Nóbrega S, Silva L. A rare case of low-grade appendiceal mucinous neoplasm within an incarcerated Amyand’s hernia. Case Rep Int 2017;6:13–16.


ABSTRACT
Introduction: We report a rare case of low-grade appendiceal mucinous neoplasm (LAMN) within an incarcerated Amyand’s hernia.
Case Report: he patient was admitted for an elective surgery due to an asymptomatic right-sided inguinal hernia. The operative findings were suggestive of an appendiceal mucocele. Appendectomy and herniorrhaphy were performed. The histology report revealed a low-grade appendiceal mucinous neoplasm. The patient had no clinical, biochemical or imaging signs of disease or hernia recurrence two years postoperatively.
Conclusion: Surgical treatment involves appendectomy and hernia repair, which is performed without the implantation of synthetic mesh. The possibility of finding an incidental neoplasm should be considered during the surgery of an Amyand’s hernia.

Keywords: Amyand’s hernia, Appendectomy, Appendix, Inguinal hernia, Low-grade appendiceal mucinous neoplasm (LAMN), Mucocele

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Author Contributions
Diana Fernandes – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Maria Olim Sousa – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ricardo Viveiros – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sara Silva – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Susana Nóbrega – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Laurentina Silva – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Diana Fernandes et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.