A rare case of Amyand hernia with acute appendicitis in a 7-day-old child

Authors

  • Mohammad A. Abo El Naga Department of Paediatric Surgery, Mansoura New General Hospital, Mansoura, Dakahlia, Egypt
  • Islam E. Abd Elhady Department of General Surgery, Mansoura New General Hospital, Mansoura, Dakahlia, Egypt
  • Yomna H. Elwan Department of General Surgery, Mansoura New General Hospital, Mansoura, Dakahlia, Egypt
  • Shereen O. Abdo Department of General Surgery, Mansoura New General Hospital, Mansoura, Dakahlia, Egypt
  • Nervana M. Khalil Department of Paediatric Surgery, Mansoura New General Hospital, Mansoura, Dakahlia, Egypt

DOI:

https://doi.org/10.18203/2349-2902.isj20230269

Keywords:

Amyand, Hernia, Congenital, Appendicitis

Abstract

Amyand hernia is an extremely rare type of inguinal hernia where the vermiform appendix resides within the hernial sac. We presented a case of a 7-day-old male patient who presented to the ER with an irreducible right congenital inguinal hernia for 6 hours. The patient underwent surgical correction for the hernia where a thick, elongated, and inflamed appendix was identified within the hernia sac, ligated and excised to be sent for histopathological evaluation. Amyand hernia, as well as acute appendicitis in neonates, is an extremely rare condition, and in most cases, the diagnosis is established intraoperative because it's nearly impossible to be diagnosed by radiological imaging.

References

Neto OC, Lucena RC, Lacerda CM. Amyand's hernia: inguinal hernia with acute appendicitis. Arq Bras Cir Dig. 2014;27(4):309-10.

Cano GE, Gasperin MJ, Pelaez RC, Zamora HV, Montiel-Jarquín JÁ, Franco-Cravioto F. Amyand's hernia and complicated appendicitis; case presentation and surgical treatment choice. Cir Cir. 2016;84(1):54-7.

Mdel MCC, Atienza MV, García SS, Santos GE, García RF, Fernández MJ. Amyand's hernia: a report of two cases and review of the bibliography. Cir Cir. 2014;82(2):195-9.

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

Sharma H, Gupta A, Shekhawat NS, Memon B, Memon MA. Amyand's hernia: a report of 18 consecutive patients over a 15-year period. Hernia. 2007;11(1):31-5.

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Published

2023-01-27

Issue

Section

Case Reports