Infantile Amyand's hernia

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

“…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.…”

“…The exact mechanism regarding how this condition occurs is unknown, likely secondary to its limited presentation. Some believe that it may begin upon entry of the appendix into the inguinal canal that compromises the blood supply to the appendix and increases its vulnerability to trauma (external or internal), resulting in inflammation and bacterial overgrowth [2,9]. Very few articles discuss a laparoscopic approach to this condition, and thus, the current treatments are open appendectomy and primary hernia repair.…”

“…The diagnosis of Amyand's hernia, defined as an acutely inflamed or perforated appendix located in the inguinal canal, was first described and treated in an 11-year-old boy by Claudius Amyand in 1735 [1,2]. The incidence of this hernia is rare and reported to occur in 0.1% of all cases of appendicitis [1,[3][4][5][6].…”

Amyand’s Hernia: A Case Report

“…However, some authors believe that appendicitis is an incidental finding with Amyand's hernia. 4 Clinical presentation is variable and influenced by the presence of inflammation of the appendix and peritoneal contamination. Majority of the reported cases present with the features of an obstructed or strangulated inguinal hernia.…”

Case Report: A Rare Case of Appendicitis Incarcerated in an Inguinal Hernia in an 8 Year Old Male Child

“…Case reports in the literature indicate that about 1% of the inguinal hernias contain a portion of the vermiform appendix and its complicated by acute appendicitis in 0.08% of cases [2,3]. Furthermore, it is three times more likely in children than in adults [4,5]. We report a rare case of Amyand's henia occurring in a male who presented with an acute irreducible erythematous mass located in the right inguinal area.…”