RESUMEN
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1%. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyand's hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.
Asunto(s)
Apendicitis , Hernia Inguinal , Apendicectomía/métodos , Apendicitis/complicaciones , Apendicitis/diagnóstico , Apendicitis/cirugía , Hernia Inguinal/complicaciones , Hernia Inguinal/diagnóstico , Hernia Inguinal/cirugía , Humanos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Resultado del TratamientoRESUMEN
BACKGROUND: Primary hyperparathyroidism (PHPT) is characterized by an increase in parathyroid hormone (PTH) and hypercalcemia, which, when present during pregnancy, increases both maternal and fetal morbidity and mortality. OBJECTIVE: Emphasize the importance of surgical intervention in primary hyperparathyroidism during pregnancy. CLINICAL CASE: A 27-year-old female with a pregnancy of 27.2 weeks of gestation, with a diagnosis of symptomatic primary hyperparathyroidism secondary to parathyroid adenoma, a history of nephrolithiasis and severe acute pancreatitis, surgery was decided upon finding intrathyroid right parathyroid adenoma, post-surgical course with adequate evolution and remission of hyperparathyroidism. CONCLUSIONS: Parathyroidectomy in primary hyperparathyroidism during pregnancy is safe.
INTRODUCCIÓN: El hiperparatiroidismo primario (HPTP) se caracteriza por un aumento de la hormona paratiroidea (PTH) e hipercalcemia, que aumenta la morbimortalidad materna y fetal cuando se presenta durante el embarazo. OBJETIVO: Enfatizar la importancia de la intervención quirúrgica en el hiperparatiroidismo primario durante el embarazo. CASO CLÍNICO: Paciente femenino de 27 años de edad con embarazo de 27.2 semanas de gestación, con diagnóstico de hiperparatiroidismo primario sintomático secundario a adenoma paratiroideo, antecedentes de nefrolitiasis y pancreatitis aguda grave; al decidir realizar un procedimiento quirúrgico se identificó un adenoma paratiroideo derecho intratiroideo; el curso posquirúrgico mostró adecuada evolución y remisión del hiperparatiroidismo. CONCLUSIÓN: La paratiroidectomía en el hiperparatiroidismo primario durante el embarazo es segura.
Asunto(s)
Adenoma/complicaciones , Hiperparatiroidismo Primario/etiología , Neoplasias de las Paratiroides/complicaciones , Paratiroidectomía , Complicaciones Neoplásicas del Embarazo/cirugía , Enfermedad Aguda , Adenoma/diagnóstico , Adenoma/cirugía , Adulto , Transfusión de Componentes Sanguíneos , Calcio/metabolismo , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/cirugía , Femenino , Hormonas/sangre , Humanos , Hipercalcemia/etiología , Hiperparatiroidismo Primario/sangre , Hallazgos Incidentales , Nefrolitiasis/etiología , Pancreatitis/etiología , Neoplasias de las Paratiroides/diagnóstico , Neoplasias de las Paratiroides/cirugía , Embarazo , Complicaciones Neoplásicas del Embarazo/sangre , Complicaciones Neoplásicas del Embarazo/diagnóstico , Neoplasias de la Tiroides/diagnóstico , Neoplasias de la Tiroides/cirugía , TiroidectomíaRESUMEN
The finding of the appendix inside an hernial sac is called "Amyand hernia": The global incidence is 0.28 to 1
. Clinical manifestations are the presence of an inflamed inguinal mass, tense, hypersensitivensible, with variable size, non-reducible, and associated to abdominal pain, vomit and very rarely true appendicitis manifestations. Surgical treatment depends on the case presentation and the intraoperative findings. We present a case of a giant Amyands hernia successfully treated with surgery by performing the hernia repair with Bassini technique and transherniotomy appendectomy.