Inflammed appendix as a cause of incarcerated inguinal hernia in a neonate

Authors

  • Y. S. Kadian Department of Pediatric Surgery, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
  • Shiva Asati Department of General Surgery, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
  • M. M. Ali Department of Pediatric Surgery, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20232600

Keywords:

Inguinal hernia, Incarcerated hernia, Amyand’s hernia

Abstract

Inflamed appendix as a cause of incarcerated inguinal hernia is a rare presentation in any age group. Appendix as a content in an inguinal hernial sac was named after the French surgeon Claudius Amyand (c.1681-1740), who performed the first successful appendectomy, on an 11-year-old boy who presented with an inflamed, perforated appendix in his inguinal hernia sac. Treatment of this condition is herniotomy with its repair with or without appendectomy depending on its involvement (inflammation status). We are reporting the case, in which, the inflamed appendix was presented as incarcerated inguinal hernia. The management of Amyand’s hernia depends on the variability of involvement of the appendix however, in children and neonates, it is better to perform appendectomy during the hernia repair.

References

Hutchinson R. Amyand's hernia. J Royal Soc Med. 1993;86(2):104-5.

Michalinos A, Moris D, Vernadakis S. Amyand’s hernia: a review. Am J Surg. 2014;207(6):989-95.

Jonathan Green, Luke G. Gutwein, Amyand's hernia: a rare inguinal hernia. J Surg Case Rep. 2013;9.

Amyand C. VIII. Of an inguinal rupture, with a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts. Philosophical Transactions of the Royal Society of London. 1736;39(443):329-42.

Losanoff JE, Basson MD. Amyand hernia: what lies beneath–a proposed classification scheme to determine management. The American Surgeon. 2007;73(12):1288-90.

Losanoff JE, Basson MD. Amyand hernia: a classification to improve management. Hernia. 2008;12:325-6.

Psarras K, Lalountas M, Baltatzis M, Pavlidis E, Tsitlakidis A, Symeonidis N, et al. Amyand's hernia-a vermiform appendix presenting in an inguinal hernia: a case series. J Med Case Rep. 2011;5:463.

Mandhan P, Al Rayes T, J Ali M, Aldhaheri M. Complicated Amyand's Hernia in a Neonate. J Neonatal Surg. 2014;3(3):38.

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Published

2023-08-25

Issue

Section

Case Reports