APPENDICITIS WITHIN RECURRENT HERNIA ON GERIATRIC PATIENT: AN UNUSUAL AMYAND'S HERNIA

In a 73 year old male patient who admitted to emergency service with general medical condition disorder, high fever, unconsciousness, had no abdominal complaints prior to admission and had a right inguinal hernia surgery twice, one due to recurrence in the medical history, recurrent right Amyand hernia and appendicitis were detected. A laparoscopic appendectomy was performed in this atypical clinic. Although appendicitis due to Amyand hernia is observed in less than 0.1% of patients, by sharing this patient’s findings and treatment protocol whose second recurrence of hernia has developed as Amyand, it was aimed to remind that especially appendicitis in the hernia sac may lead to a systemic infection clinic without localized peritonitis findings and even in patients who have undergone multiple hernia operations, recurrent / indirect inguinal hernia may be present