CC BY 4.0 · European J Pediatr Surg Rep. 2019; 07(01): e69-e71
DOI: 10.1055/s-0039-1697601
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Amyand's Hernia in a Neonate Presenting with Inguinoscrotal Erythema: A Difficult Diagnosis

1   Department of Paediatric Surgery, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary Infirmary Square Leicester, Leicester, United Kingdom of Great Britain and Northern Ireland
,
Anas Fagelnor
2   Department of Pediatric Surgery, Benha Children Hospital, Benha, Egypt
› Author Affiliations
Further Information

Publication History

19 May 2019

01 August 2019

Publication Date:
31 October 2019 (online)

Abstract

The presence of the vermiform appendix, whether inflamed or not, inside a hernial sac is known as Amyand's hernia. Due to nonspecific signs, preoperative diagnosis is not common and requires a high index of suspicion along with awareness of this rare entity. It is more commonly mistaken for a strangulated or incarcerated inguinal hernia. Most cases of reported Amyand's hernia with appendicitis were in pre-term babies, infants, and post-menopausal women. We present a similar case in a 19-day-old, full-term baby presenting with inguinoscrotal edema, erythema, and without a palpable inguinoscrotal mass.

 
  • References

  • 1 Amyand C. Of an inguinal rupture, with a pin in the appendix caeci incrusted with stone, and some observations on wound in the guts. Philos Trans R Soc Lond B Biol Sci 1736; 39: 329-342
  • 2 Ash L, Hatem S, Ramirez GA, Veniero J. Amyand's hernia: a case report of prospective CT diagnosis in the emergency department. Emerg Radiol 2005; 11 (04) 231-232
  • 3 Jancelewicz T, Kim G, Miniati D. Neonatal appendicitis: a new look at an old zebra. J Pediatr Surg 2008; 43 (10) e1-e5
  • 4 Shen Z, Zheng S. Timely recognition of Amyand's hernia with appendicitis in infants. World J Pediatr 2015; 11 (04) 392-394
  • 5 Baldassarre E, Centonze A, Mazzei A, Rubino R. Amyand's hernia in premature twins. Hernia 2009; 13 (02) 229-230
  • 6 Livaditi E, Mavridis G, Christopoulos-Geroulanos G. Amyand's hernia in premature neonates: report of two cases. Hernia 2007; 11 (06) 547-549
  • 7 Cankorkmaz L, Ozer H, Guney C, Atalar MH, Arslan MS, Koyluoglu G. Amyand's hernia in the children: a single center experience. Surgery 2010; 147 (01) 140-143
  • 8 Cigsar EB, Karadag CA, Dokucu AI. Amyand's hernia: 11 years of experience. J Pediatr Surg 2016; 51 (08) 1327-1329
  • 9 Sun XF, Cao DB, Zhang T, Zhu YQ. Amyand's hernia in a neonate: a case report. J Res Med Sci 2014; 19 (02) 193-195
  • 10 Okur MH, Karaçay S, Uygun I, Topçu K, Öztürk H. Amyand's hernias in childhood (a report on 21 patients): a single-centre experience. Pediatr Surg Int 2013; 29 (06) 571-574
  • 11 Prando D. Torsion of the spermatic cord: the main gray-scale and Doppler sonographic signs. Abdom Imaging 2009; 34 (05) 648-661
  • 12 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 (04) 248-250