Perforated Appendicitis with Peri-Appendicular Abscess in an Amyand’s Hernia
نویسندگان
چکیده
Amyand's hernia is a rare clinical condition in which a normal or an inflamed appendix lies in the inguinal hernial sac. Perforated appendicitis in an Amyand's hernia is even more uncommon. Herein we report such a rare case in a 4 month old baby who presented with an irreducible right inguino-scrotal swelling. Exploration revealed perforated appendix in the hernial sac with local abscess. A transherniotomy appendectomy was done. Postoperatively, the patient developed wound infection, which resolved with wound care. Pediatric / hernia surgeons must remember this rare clinical situation while managing children with acute right inguino-scrotal swellings.
منابع مشابه
Complicated Amyand’s Hernia in a Neonate
Amyand's hernia is a rare clinical entity in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 5-day-old neonate with dysmorphic features referred to us with a tender irreducible right inguino-scrotal swelling. Surgical exploration showed gangrenous appendix with a peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was...
متن کاملAmyand’s Hernia: Our Eperience and Review of Literature
When a normal, inflamed or perforated appendix is found as a content in an incarcerated inguinal hernia, it is called the Amyand’s hernia1. The incidence varies from 0.19-1.7% of reported hernia cases2. Appendicitis in Amyand’s hernia is believed to be caused by extra luminal compression and can mimic appendicitis or complicated inguinal hernia. Since both inguinal hernia and acute appendicitis...
متن کاملUse of an open double incision to treat acute appendicitis in an Amyand’s hernia: a case report and review of the literature
Amyand’s hernia (AH) is an inguinal hernia that contains the vermiform appendix within its sac and is difficult to diagnose preoperatively. We encountered a case of AH with acute perforated appendicitis and peritonitis, which was diagnosed based on preoperative CT. Intraoperatively, we discovered that the internal inguinal ring was small, and part of the appendix was within the hernia sac; the ...
متن کاملA rare presentation of caviar appendix in an Amyand’s hernia
Amyand’s hernia is a rare condition where the appendix is found within the sac of an inguinal hernia. The occurrence of an appendicular neoplasm within such hernia is even rarer. We highlight the case of a 70-year-old male who presented with an appendicular neoplasm masquerading as a strangulated inguinal hernia. The rarity and heterogenic clinico-pathological presentation of an appendiceal neo...
متن کاملAmyand’s hernia with appendicitis masquerading as Fournier’s gangrene: a case report and review of the literature
BACKGROUND The incarceration of an appendix within an inguinal hernia sac is known as Amyand's hernia. Appendicitis in Amyand's hernia accounts for 0.1 % of the cases. An aggressive necrotizing infection of the genitalia and perineum, called Fournier's gangrene, can rapidly progress to sepsis and death. We describe a rare case of Fournier's gangrene complicating Amyand's inguinal hernia which h...
متن کامل