Amyand’s hernia presenting as neonatal testicular ischaemia

Milburn, James; Youngson, George

doi:10.1007/s00383-005-1601-8

Cited by 28 publications

(16 citation statements)

References 12 publications

(9 reference statements)

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“…History and physical examination are suggestive of an incarcerated or strangulated right inguinal hernia. However, the signs and symptoms may mimic inguinal lymphadenitis, epididymo-orchitis, hydrocele of the spermatic cord, and testicular torsion [2,6,[13][14][15]. Patients often complain of crampy, dull, lower abdominal pain combined with an irreducible, tender mass in or near the inguinal canal.…”

Section: Discussionmentioning

confidence: 95%

Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

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Kumpf

Schwartz

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 95%

Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Tycast

Kumpf

Schwartz

et al. 2008

Journal of Pediatric Surgery

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“…reported that perforation of an Amyand’s hernia can cause a peri-appendicular abscess [11]. This type of hernia can also present with testicular ischemia in newborn babies [12], hyperemia, and hemorrhagic infiltration into the hernia sac [13]. Francko et al .…”

Section: Discussionmentioning

confidence: 99%

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

et al. 2015

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IntroductionAn 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 presentationA 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.ConclusionsDiagnosis 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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“…Serrano and Ackerman reported an incarcerated right inguinal hernia that contained a perforated appendix along with an inflamed right testicle and spermatic cord; all of which had to be removed [20]. Amyand’s hernia with perforated appendix can present with testicular ischemia in neonates as well [21]. Strangulated Amyand’s hernia has been reported with hyperemia and hemorrhagic infiltration within the hernial sac [22].…”

Section: Clinical Presentationmentioning

confidence: 99%

Amyand's hernia: A review

et al. 2014

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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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Amyand’s hernia presenting as neonatal testicular ischaemia

Abstract: Testicular ischaemia presenting in the neonatal period is most often attributable to neonatal torsion. We present an unusual case of a male neonate who presented with acute appendicitis within a patent processus vaginalis, causing cord compression and consequent testicular ischaemia.

Cited by 28 publications

References 12 publications

Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Amyand's hernia: a case report describing laparoscopic repair in a pediatric patient

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

Amyand's hernia: A review

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