Perforated Appendicitis with Peri-Appendicular Abscess in an Amyand's Hernia

Amyand's hernia is a rare clinical condition in which a normal or an inflamed appendix lies in the inguinal hernial sac. Perforated appendicitis in an Amyand's hernia is even more uncommon. Herein we report such a rare case in a 4 month old baby who presented with an irreducible right ingu...

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Bibliographic Details
Published in:APSP Journal of Case Reports 2013-10, Vol.4 (3), p.37-37
Main Authors: Khatoon, Ruquia, Khan, Yousuf Aziz, Saddal, Nasir Salim
Format: Article
Language:English
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Case Report
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Summary:Amyand's hernia is a rare clinical condition in which a normal or an inflamed appendix lies in the inguinal hernial sac. Perforated appendicitis in an Amyand's hernia is even more uncommon. Herein we report such a rare case in a 4 month old baby who presented with an irreducible right inguino-scrotal swelling. Exploration revealed perforated appendix in the hernial sac with local abscess. A transherniotomy appendectomy was done. Postoperatively, the patient developed wound infection, which resolved with wound care. Pediatric / hernia surgeons must remember this rare clinical situation while managing children with acute right inguino-scrotal swellings.
ISSN:2218-8185
2218-8185