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301954

Perforated Appendix in Amyand Inguinal Hernia in a Neonate Presenting as Obstructed Oblique Inguinal Hernia: A Case Report and Review of Literature

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Last updated: 25 Dec 2024

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Abstract

An Amyand hernia is defined as when the appendix is trapped within the sac of an inguinal hernia through a patent vaginal process. It was first described by Claudius Amyand, in 1735 during an appendectomy of a perforated appendix inside a hernial sac of an 11-year old child. Amyand hernia rare, constituting less than 1% of inguinal hernias. Amyand hernia is 3 times more likely to be diagnosed in children compared to adults due to the patency of vaginal process. Appendicitis or its perforation in Amyand hernia, complicate 0.1% of cases. Other variants include the presence of ileum, caecum or both in addition to the appendix. Isolated acute appendicitis in neonates is extremely rare, with a high mortality rate, and higher among those within Amyand hernia up to 30%. Perforated appendix in Amyand hernia is difficult to diagnose, as its clinical picture is not specific. We report a neonate 26 days old with perforated appendix in an Amyand inguinal hernia who presented by a picture of obstructed oblique inguinal hernia. He underwent emergency open inguinal exploration, herniotomy and appendicectomy. Despite the high mortality rate of Amyand hernia due to be peritoneal spread of sepsis, the boy survived complication free. Perforated appendix in Amyand hernia is exceptionally rare, and can present in the early neonatal period, its diagnosis and outcome rely on high index of suspicion and prompt surgical intervention.

DOI

10.21608/cupsj.2023.181283.1090

Keywords

Inguinal hernia, Amyand hernia, perforated appendix, Neonate

Authors

First Name

Khaled

Last Name

Abdullateef

MiddleName

S.

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

khaled.salah@kasralainy.edu.eg

City

-

Orcid

-

First Name

Youssef

Last Name

Eid

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

youssefaid97@gmail.com

City

-

Orcid

-

First Name

Maryam

Last Name

Aldaqaq

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

maryam.mohamed.aldaqaq@gmail.com

City

-

Orcid

-

First Name

Hassan

Last Name

Marhoon

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

7asanzaid97@gmail.com

City

-

Orcid

-

First Name

Sherifa

Last Name

Tawfik

MiddleName

-

Affiliation

Department of Pathology, Om El Misryeen Hospital, Ministry of Heath, Egypt. Department of Pathology, Faculty of Medicine, The University of Zambia, Zambia

Email

tsherifa1@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Fargaly

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

mohamed.fargaly@gmail.com

City

-

Orcid

-

First Name

Rawan

Last Name

Abdelmaqsoud

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

rawan.maqsoud@gmail.com

City

-

Orcid

-

First Name

Magd

Last Name

Kotb

MiddleName

Ahmed

Affiliation

Department of Pediatrics, Faculty of Medicine, Cairo University, Egypt

Email

magdkotb@hotmail.com

City

Cairo

Orcid

0000-0003-2118-3793

First Name

Sherif

Last Name

Kaddah

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

sherif.kaddah@gamil.com

City

-

Orcid

-

First Name

Heba

Last Name

Taher

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Cairo University, Egypt

Email

hebatallah.taher@kasralainy.edu.eg

City

-

Orcid

https://orcid.org/00

Volume

3

Article Issue

2

Related Issue

42162

Issue Date

2023-07-01

Receive Date

2022-12-16

Publish Date

2023-07-01

Page Start

114

Page End

118

Print ISSN

2805-279X

Online ISSN

2682-3985

Article File

CUPSJ_Volume 3_Issue 2_Pages 114-118.pdf

PDF . 2.1MB

Link

https://cupsj.journals.ekb.eg/article_301954.html

Detail API

https://cupsj.journals.ekb.eg/service?article_code=301954

Order

6

Type

Case Report

Type Code

1,279

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

MainTitle

Perforated Appendix in Amyand Inguinal Hernia in a Neonate Presenting as Obstructed Oblique Inguinal Hernia: A Case Report and Review of Literature

Details

Type

Article

Created At

25 Dec 2024