1
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The SML, The AMH, Derikx JPM, Bakx R, Visser DH, de Meij TGJ, Ket JCF, van Heurn ELW, Gorter RR. Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review. Health Sci Rep 2023; 6:e1435. [PMID: 37680208 PMCID: PMC10480420 DOI: 10.1002/hsr2.1435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 05/29/2023] [Accepted: 07/07/2023] [Indexed: 09/09/2023] Open
Abstract
Background and Aims Although appendicitis is rare in young infants, the reported mortality is high. Primary aim of this systematic review was to provide updated insights in the mortality and morbidity (postoperative complications, Clavien-Dindo grades I-IV) of appendicitis in infants ≤3 months of age. Secondary aims comprised the evaluation of patient characteristics, diagnostic work-up, treatment strategies, comorbidity, and factors associated with poor outcome. Methods This systematic review was reported according to the PRISMA statement with a search performed in Pubmed, Embase and Web of Science (up to September 5th 2022). Original articles (published in English ≥1980) reporting on infants ≤3 months of age with appendicitis were included. Both patients with abdominal appendicitis and herniated appendicitis (such as Amyand's hernia) were considered. Data were provided descriptively. Results In total, 131 articles were included encompassing 242 cases after identification of 4294 records. Overall, 184 (76%) of the 242 patients had abdominal and 58 (24%) had herniated appendicitis. Two-hundred (83%) of the patients were newborns (≤28 days) and 42 (17%) were infants between 29 days and ≤3 months of age. Either immediate, or after initial conservative treatment, 236 (98%) patients underwent surgical treatment. Some 168 (69%) patients had perforated appendicitis. Mortality was reported in 20 (8%) patients and morbidity in an additional 18 (8%). All fatal cases had abdominal appendicitis and fatal outcome was relatively more often reported in newborns, term patients, patients with relevant comorbidity, nonperforated appendicitis and those presented from home. Conclusion Mortality was reported in 20 (8%) infants ≤3 months of age and additional morbidity in 18 (8%). All patients with fatal outcome had abdominal appendicitis. Several patient characteristics were relatively more often reported in infants with poor outcome and adequate monitoring, early recognition and prompt treatment may favour the outcome.
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Affiliation(s)
- Sarah‐May M. L. The
- Department of Paediatric Surgery, Emma Children's Hospital Amsterdam UMCUniversity of Amsterdam & Vrije UniversiteitAmsterdamThe Netherlands
- Amsterdam Reproduction and Development Research InstituteAmsterdamThe Netherlands
| | - Anne‐Fleur M. H. The
- University of GroningenUniversity Medical Centre GroningenGroningenThe Netherlands
| | - Joep P. M. Derikx
- Department of Paediatric Surgery, Emma Children's Hospital Amsterdam UMCUniversity of Amsterdam & Vrije UniversiteitAmsterdamThe Netherlands
- Amsterdam Gastroenterology and Metabolism Research InstituteAmsterdamThe Netherlands
| | - Roel Bakx
- Department of Paediatric Surgery, Emma Children's Hospital Amsterdam UMCUniversity of Amsterdam & Vrije UniversiteitAmsterdamThe Netherlands
- Amsterdam Gastroenterology and Metabolism Research InstituteAmsterdamThe Netherlands
| | - Douwe H. Visser
- Department of Neonatology, Emma Children's Hospital Amsterdam UMCLocation University of AmsterdamAmsterdamThe Netherlands
| | - Tim G. J. de Meij
- Amsterdam Reproduction and Development Research InstituteAmsterdamThe Netherlands
- Amsterdam Gastroenterology and Metabolism Research InstituteAmsterdamThe Netherlands
- Department of Paediatric Gastroenterology, Emma Children's Hospital Amsterdam UMCLocation University of AmsterdamAmsterdamThe Netherlands
| | | | - Ernest L. W. van Heurn
- Department of Paediatric Surgery, Emma Children's Hospital Amsterdam UMCUniversity of Amsterdam & Vrije UniversiteitAmsterdamThe Netherlands
- Amsterdam Reproduction and Development Research InstituteAmsterdamThe Netherlands
- Amsterdam Gastroenterology and Metabolism Research InstituteAmsterdamThe Netherlands
| | - Ramon R. Gorter
- Department of Paediatric Surgery, Emma Children's Hospital Amsterdam UMCUniversity of Amsterdam & Vrije UniversiteitAmsterdamThe Netherlands
- Amsterdam Reproduction and Development Research InstituteAmsterdamThe Netherlands
- Amsterdam Gastroenterology and Metabolism Research InstituteAmsterdamThe Netherlands
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Marzocchi G, Borlandelli E, Branchini M, Lovato L. Emergency imaging of a rare cause of inguinal swelling: Amyand's hernia with perforated appendicitis and abscess-cutaneous fistula - a case report and review of the literature. BMJ Case Rep 2022; 15:e250436. [PMID: 35793851 PMCID: PMC9260772 DOI: 10.1136/bcr-2022-250436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2022] [Indexed: 11/03/2022] Open
Abstract
Inguinal hernias containing the appendix are rare, but even more exceptional is the occurrence of complicated appendicitis within the hernial sac with a cutaneous fistula. We report the case of a man in his 50s presenting to the emergency department with a right-sided erythematous and painful inguinal swelling secreting seropurulent material. A perforated appendix within an inguinal hernia complicated by an appendico-cutaneous fistula was diagnosed.
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Affiliation(s)
- Guido Marzocchi
- Emergency Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Bologna, Emilia-Romagna, Italy
| | - Elena Borlandelli
- Emergency Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Bologna, Emilia-Romagna, Italy
| | - Mauro Branchini
- Emergency Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Bologna, Emilia-Romagna, Italy
| | - Luigi Lovato
- Radiology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola-Malpighi, Bologna, Emilia-Romagna, Italy
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3
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Almetaher HA, Mansour MA, Arafa MA. Management of Amyand’s hernia in children: should appendectomy be mandatory or not? ANNALS OF PEDIATRIC SURGERY 2020. [DOI: 10.1186/s43159-020-00021-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2022] Open
Abstract
Abstract
Background
Amyand’s hernia (AH) is defined as protrusion of the vermiform appendix within the sac of the inguinal hernia and usually misdiagnosed as obstructed hernia. It is more common in pediatric patients but there are controversies about dealing with the normally looking appendix in AH. The aim of this study is to present our experience in the management of AH and highlights the difference in dealing with normally looking appendix between pediatric and adult patients. Patients’ demographics, intraoperative, and postoperative outcome were reported and analyzed.
Results
This is a retrospective analysis of 12 pediatric patients aged between 15 days and 5 years presented with AH and operated in tertiary referral hospital over 10 years. This study included 10 males and 2 females. The median age at the operation was 7 months. Eleven patients were operated using conventional technique, and only one patient was operated using laparoscopy. In 11 patients, the appendix was looking normal and was reduced without appendectomy, and the hernia was repaired. Appendectomy was done in one patient presented with AH containing inflamed appendix. The postoperative course was uneventful in all cases.
Conclusions
There is a difference in the management of pediatric and adult patients presenting with AH, and appendectomy is not mandatory in normally looking appendix in pediatric patients.
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4
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Abstract
Neonatal appendicitis is a rare disease with a high mortality rate. Appendicitis is difficult to diagnose in neonatal and infant populations because it mimics other more common conditions in these age groups. Furthermore, signs and symptoms of appendicitis are often nonspecific in nonverbal patients and a high index of suspicion is necessary to initiate the appropriate diagnostic work-up. The keys to successful management of appendicitis in infants include keeping the diagnosis on the differential in the setting of unexplained intra-abdominal sepsis, following a diagnostic algorithm in the work-up of infant abdominal pathology, and performing appendectomy once the diagnosis is confirmed.
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Affiliation(s)
- Christina M Bence
- Division of Pediatric Surgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, 999 North 92nd Street, Suite CCC320, Milwaukee, WI 53226, USA.
| | - John C Densmore
- Division of Pediatric Surgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, 999 North 92nd Street, Suite CCC320, Milwaukee, WI 53226, USA
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5
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Sangüesa Nebot C, Llorens Salvador R, Picó Aliaga S, Garcés Iñigo E. Perinatal testicular torsion: Ultrasound assessment and differential diagnosis. RADIOLOGIA 2017. [DOI: 10.1016/j.rxeng.2017.02.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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6
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Erginel B, Soysal FG, Celik A, Salman T. Neonatal perforated appendicitis in incarcerated inguinal hernia in the differential diagnosis of testis torsion. Pediatr Int 2017; 59:831-832. [PMID: 28745461 DOI: 10.1111/ped.13297] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Revised: 12/06/2016] [Accepted: 12/27/2016] [Indexed: 11/26/2022]
Abstract
Appendicitis in newborns is uncommon and difficult to diagnose. Reports on neonatal appendicitis subsequent to inguinal hernia incarceration are exceptionally rare. We present the case of a 26-day-old infant with perforated appendicitis due to incarceration of a right inguinal hernia, mimicking right testicular torsion.
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Affiliation(s)
- Basak Erginel
- Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Feryal Gun Soysal
- Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Alaaddin Celik
- Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Tansu Salman
- Department of Pediatric Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
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7
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Sangüesa Nebot C, Llorens Salvador R, Picó Aliaga S, Garcés Iñigo E. Perinatal testicular torsion: ultrasound assessment and differential diagnosis. RADIOLOGIA 2017; 59:391-400. [PMID: 28117098 DOI: 10.1016/j.rx.2016.11.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Revised: 11/08/2016] [Accepted: 11/09/2016] [Indexed: 10/20/2022]
Abstract
Perinatal testicular torsion, defined as torsion occurring in the prenatal period or in the first month after birth, accounts for 10% of all cases of testicular torsion in pediatric patients. Most are extravaginal, and intravaginal torsion is rare. Its management is controversial, due to the low viability of the testis and the possibility of bilateral torsion. Ultrasonography is the method of choice to study testicular torsion. Combining B-mode and power Doppler imaging facilitates a fast reliable diagnosis. We review the ultrasonographic appearance of neonatal testicular torsion for each presentation, the differential diagnosis with other causes of increased scrotal volume in neonates, and its treatment.
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Affiliation(s)
- C Sangüesa Nebot
- Área de Imagen médica, Sección de Pediatría, Hospital Universitario y Politécnico La Fe, Valencia, España.
| | - R Llorens Salvador
- Área de Imagen médica, Sección de Pediatría, Hospital Universitario y Politécnico La Fe, Valencia, España
| | - S Picó Aliaga
- Área de Imagen médica, Sección de Pediatría, Hospital Universitario y Politécnico La Fe, Valencia, España
| | - E Garcés Iñigo
- Área de Imagen médica, Sección de Pediatría, Hospital Universitario y Politécnico La Fe, Valencia, España
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8
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Fascetti-Leon F, Sherwood W. Neonatal Appendicitis and Incarcerated Inguinal Hernia: Case Report and Review of the Literature. J Indian Assoc Pediatr Surg 2017; 22:248-250. [PMID: 28974880 PMCID: PMC5615902 DOI: 10.4103/jiaps.jiaps_226_16] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Neonatal appendicitis carries a high mortality rate. We describe a peculiar case presented after an incarcerated hernia manually reduced in a 4-week-old male neonate with ipsilateral undescended testis. Laparoscopy allowed a prompt recognition of an unexpected intra-abdominal life-threatening condition. Pathogenesis, treatment, and outcome are discussed on the light of a comprehensive literature review.
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Affiliation(s)
- Francesco Fascetti-Leon
- Paediatric Surgery Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.,Women's and Children's Health Department, Pediatric Surgery Unit, University of Padovam, Padovam, Italy
| | - William Sherwood
- Paediatric Surgery Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
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9
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Jabloun A, Bouthour H, Bustame S, Trabelsi F, Ben Abdallah R, Kaabar N. Amyand's hernia with appendicitis in the children: A delayed diagnosis. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2016. [DOI: 10.1016/j.epsc.2016.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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10
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Abstract
BACKGROUND Amyand's hernia with acute appendicitis is rare in infants and is mostly delayed in diagnosis and treatment, resulting in a high morbidity. METHODS We presented two cases of infantile Amyand's hernia with acute appendicitis. RESULTS Early surgical interventions were performed and both patients recovered without complication. CONCLUSION A practical strategy for this entity is to be aware of the rare disease and to perform early surgical exploration for suspected cases.
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11
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Panagidis A, Sinopidis X, Zachos K, Alexopoulos V, Vareli A, Varvarigou A, Georgiou G. Neonatal perforated Amyand's hernia presenting as an enterocutaneous scrotal fistula. Asian J Surg 2015; 38:177-9. [PMID: 24751296 DOI: 10.1016/j.asjsur.2014.03.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2013] [Revised: 02/27/2014] [Accepted: 03/06/2014] [Indexed: 10/25/2022] Open
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12
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Karanikas I, Ioannidis A, Siaperas P, Efstathiou G, Drikos I, Economou N. Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report. J Med Case Rep 2015; 9:120. [PMID: 26018608 PMCID: PMC4470008 DOI: 10.1186/s13256-015-0592-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Accepted: 04/08/2015] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION An Amyand's hernia is a rare occurrence of an inguinal hernia, with an estimated prevalence of 1%. The major complications of an Amyand's hernia include necrotizing fasciitis of the anterior abdominal wall and secondary intestinal perforation. Though the incidence of this type of hernia is low, the appendix may easily become initially incarcerated, possibly leading to strangulation and perforation. CASE PRESENTATION A 92-year-old female patient presented to our emergency department with clinical signs of an incarcerated right inguinal hernia, accompanied by fever. A clinical examination revealed localized abdominal pain, reflecting to the right side of her groin. Laboratory tests showed leukocytosis (13,200/μL), while an abdominal X-ray showed colon distension with evidence of intestinal obstruction. Ultrasonography was performed and confirmed the presence of an inflamed tubular structure inside her right inguinal canal. Our patient underwent emergency surgery. We started with a right inguinal incision, which revealed an incarcerated right inguinal hernia, containing her ruptured appendix and showing macroscopic evidence of malignancy. A specimen biopsy was immediately performed and the results showed a ruptured cecal adenocarcinoma. The incision was slightly extended upwards, and a right hemicolectomy performed. CONCLUSIONS Diagnosis of an Amyand's hernia occurs primarily as an incidental finding during surgery and the optimal therapeutic approach must be considered individually for each case. Owing to the rarity of Amyand's hernia and the wide variance of its clinical characteristics, every case provides useful information toward the treatment of this type of hernia.
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Affiliation(s)
- Ioannis Karanikas
- Department of Surgery, Sismanoglion General Hospital, Sismanoglou 1, P.O. BOX 15126, Athens, Greece.
| | - Argyrios Ioannidis
- Department of Surgery, Sismanoglion General Hospital, Sismanoglou 1, P.O. BOX 15126, Athens, Greece.
| | - Petros Siaperas
- Department of Surgery, Sismanoglion General Hospital, Sismanoglou 1, P.O. BOX 15126, Athens, Greece.
| | - Georgios Efstathiou
- Department of Surgery, Sismanoglion General Hospital, Sismanoglou 1, P.O. BOX 15126, Athens, Greece.
| | - Ioannis Drikos
- Department of Surgery, Sismanoglion General Hospital, Sismanoglou 1, P.O. BOX 15126, Athens, Greece.
| | - Nicolaos Economou
- Department of Surgery, Sismanoglion General Hospital, Sismanoglou 1, P.O. BOX 15126, Athens, Greece.
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13
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Al-Mayoof AF, Al-Ani BH. Left-sided amyand hernia: report of two cases with review of literature. European J Pediatr Surg Rep 2015; 2:63-6. [PMID: 25755974 PMCID: PMC4336050 DOI: 10.1055/s-0033-1347131] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2013] [Accepted: 04/16/2013] [Indexed: 11/13/2022] Open
Abstract
The presence of the vermiform appendix in an inguinal hernial sac is called “Amyand” Hernia, which is a rare condition especially in children. The authors are reporting two cases of left-sided Amyand hernia in infants presented with symptoms and signs of obstructed inguinal hernia. Emergency appendectomy and herniotomy were performed. The patients were followed up for 4 to 6 months without complications. The case histories are presented, and the conditions discussed with review of the literature.
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Affiliation(s)
- Ali Farooq Al-Mayoof
- Department of Paediatric Surgery, Al-Mustansyriah Medical College/Central Teaching Hospital of Pediatrics, Baghdad, Iraq
| | - Bilal Hamid Al-Ani
- Department of Paediatric Surgery, Al-Mustansyriah Medical College/Central Teaching Hospital of Pediatrics, Baghdad, Iraq
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14
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Ivanschuk G, Cesmebasi A, Sorenson EP, Blaak C, Loukas M, Tubbs SR. Amyand's hernia: a review. Med Sci Monit 2014; 20:140-6. [PMID: 24473371 PMCID: PMC3915004 DOI: 10.12659/msm.889873] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Amyand’s hernia is defined as when the appendix is trapped within an inguinal hernia. While the incidence of this type of hernia is rare, the appendix may become incarcerated within Amyand’s hernia and lead to further complications such as strangulation and perforation. Incarceration of the appendix most commonly occurs within inguinal and femoral hernias, but may arise to a lesser extent in incisional and umbilical hernias. Incarcerated appendix has been reported in a variety of ventral abdominal and inguinal locations, yet its indistinct clinical presentation represents a diagnostic challenge. This paper reviews the literature on incarceration of the appendix within inguinal hernias and discusses current approaches to diagnosis and treatment of Amyand’s hernia and complications that may arise from incarceration of the appendix within the hernia.
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Affiliation(s)
- Galyna Ivanschuk
- Department of Anatomical Sciences, School of Medicine, St George's University, St. George, Grenada
| | - Alper Cesmebasi
- Department of Anatomical Sciences, School of Medicine, St George's University, St. George, Grenada
| | - Edward P Sorenson
- Department of Anatomical Sciences, School of Medicine, St George's University, St. George, Grenada
| | - Christa Blaak
- Department of Anatomical Sciences, School of Medicine, St George's University, St. George, Grenada
| | - Marios Loukas
- Department of Anatomical Sciences, School of Medicine, St George's University, St. George, Grenada
| | - Shane R Tubbs
- Pediatric Neurosurgery, Children's Hospital, Birmingham, USA
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15
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Li B, Zhang JY, Wang YB, Chen WB, Wang SQ, Jin LG, Li DH. Laparoscope-assisted diagnosis and treatment for Amyand's hernia in children-report of six cases. Pediatr Surg Int 2013; 29:525-8. [PMID: 23292541 DOI: 10.1007/s00383-012-3256-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/18/2012] [Indexed: 10/27/2022]
Abstract
Laparoscope-assisted diagnosis and treatment of Amyand's hernia in children are rarely reported in literature. We report our preliminary experiences to emphasize the advantages and feasibility of this procedure in six cases. Laparoscope-assisted diagnosis and treatment of Amyand's hernias in six children from October 2010 to February 2012 were performed. A retrospective analysis of clinical data of these patients was performed. The mean age of the six patients was 234 days (ranging from 40 days to 13 months). Four cases were operated with laparoscope-assisted method urgently as incarcerated hernia. To the two cases with normal appendix, only herniorrhaphy was performed. Average follow-up was 14 months (9-24 months), with no wound infection and no recurrent hernias. In conclusion, diagnosis of Amyand's hernia before operation is difficult, and laparoscopic method is safe and effective in these cases with good outcomes, and worth introduced.
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Affiliation(s)
- Bing Li
- Department of Pediatric Surgery, Huai An Women and Children's Hospital, Huai'an, 223002 Jiang Su, China.
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16
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Amyand's Hernia in a 6-Week-Old Infant: A Delayed Diagnosis. Case Rep Pediatr 2013; 2013:758171. [PMID: 23476866 PMCID: PMC3580932 DOI: 10.1155/2013/758171] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2012] [Accepted: 01/08/2013] [Indexed: 11/24/2022] Open
Abstract
In Amyand's hernia, the hernia sac contains the appendix. This can be normal and accidentally found during herniotomy or inflamed and present as acute scrotum, although the latter is less frequent. We present a case of a male infant with scrotal abscess resulting from Amyand's hernia, with appendicitis and periappendicular abscess.
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17
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Testicle Ischemia Resulting from an Inguinal Hernia. J Emerg Med 2012; 43:e299-301. [DOI: 10.1016/j.jemermed.2010.06.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2010] [Revised: 05/08/2010] [Accepted: 06/17/2010] [Indexed: 12/27/2022]
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18
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Left-sided strangulated Amyand's hernia presenting as testicular torsion in an infant. Hernia 2010; 15:83-4. [PMID: 20069441 DOI: 10.1007/s10029-009-0616-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2009] [Accepted: 12/22/2009] [Indexed: 02/07/2023]
Abstract
The finding of an appendix in the hernial sac is termed Amyand's hernia. There have been a few reports of perforated appendix in the hernial sac (right-sided) mimicking testicular torsion. We report an extremely rare case of a left-sided inguinal hernial containing sac containing perforated appendix which was never thought of in the preoperative assessment.
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19
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Rehman MR, Panteli C, Tsang T. Laparoscopic repair of Amyand's hernia in an 8-week-old infant. Hernia 2009; 14:443-5. [PMID: 19806421 DOI: 10.1007/s10029-009-0569-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2009] [Accepted: 09/18/2009] [Indexed: 10/20/2022]
Abstract
Amyand's hernia is a rare type of hernia in which the appendix is found in the inguinal canal. A case of an 8-week-old boy who was diagnosed and managed laparoscopically is presented. To the authors' knowledge, this is the first report of emergency laparoscopic surgery for an Amyand's hernia in a young infant.
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Affiliation(s)
- M R Rehman
- Department of Paediatric Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK
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20
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Tycast JF, Kumpf AL, Schwartz TL, Coln CE. Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient. J Pediatr Surg 2008; 43:2112-4. [PMID: 18970952 DOI: 10.1016/j.jpedsurg.2008.07.032] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2008] [Revised: 07/27/2008] [Accepted: 07/28/2008] [Indexed: 10/21/2022]
Abstract
Amyand's hernia is a rare hernia in which an incarcerated or perforated appendix is found in the right inguinal canal. This case report looks at the clinical presentation, the modalities for preoperative evaluation, and finally a combined approach of laparoscopic appendectomy and open repair of the hernia. To our knowledge, this is the first report of this type of management, and we feel that it is a safe and effective option.
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Affiliation(s)
- James F Tycast
- Cardinal Glennon Children's Hospital, St Louis, MO 63110, USA
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21
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Baldassarre E, Centonze A, Mazzei A, Rubino R. Amyand's hernia in premature twins. Hernia 2008; 13:229-30. [PMID: 18791780 DOI: 10.1007/s10029-008-0427-4] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2008] [Accepted: 08/20/2008] [Indexed: 11/25/2022]
Abstract
Amyand's hernia (AH) is the presence of a normal or inflamed vermiform appendix in an inguinal hernia sac. This condition is unusual in neonates and in infants, and it has not been described in premature twins. We present two 32-day-old biovular twins with a right AH, treated with sparing of the appendix and herniotomy. The correct management of AH is discussed via a brief review of the literature.
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Affiliation(s)
- E Baldassarre
- Division of Pediatric Surgery, Pugliese-Ciaccio Hospital, Via Pio X, 88100 Catanzaro, Italy.
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