Amyand\u2019s hernia associated with mesenteric chylous cyst in infant: a rare case report

Supangat Supangat,Muhammad Yuda Nugraha,Meiske Margaretha

doi:10.1186/s12893-020-00947-w

Abstract

BackgroundAmyand’s hernia is a rare condition approximately 0.4–0.6% of all inguinal hernias. Although rare, the Amyand’s hernia is worthy of discussion since the variable presentation that make clinical challenge to diagnose especially in infant. A mesenteric chylous cyst is rare disease and has not been reported in Amyand’s hernia.Case presentationWe report an unusual case of Type II Amyand’s hernia with an enlarging chylous mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. A-2-months old infant presented with enlarging mass in the right scrotal. During laparotomy exploration, we found inguinal sac with intestinal and appendix content in the sac. In the edge site of the sac we found enlarging of mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. Based on the histopathology examination, the morphological feature is suitable for mesenteric chylous cyst appearance.ConclusionPresentation of mesenteric chylous cyst is rare, and there was no report about it in Amyand’s hernia. This unusual presentation should be considered by the surgeon, especially pediatric surgeon, in Amyand’s hernia cases.

Highlights

Amyand’s hernia is a rare condition approximately 0.4–0.6% of all inguinal hernias
Presentation of mesenteric chylous cyst is rare, and there was no report about it in Amyand’s hernia. This unusual presentation should be considered by the surgeon, especially pediatric surgeon, in Amyand’s hernia cases
Amyand’s hernia is a rare condition approximately 0.4–0.6% of all inguinal hernias where the vermiform of appendix is found in inguinal hernia sac [1]

Summary

Introduction

Amyand’s hernia is a rare condition approximately 0.4–0.6% of all inguinal hernias. rare, the Amyand’s hernia is worthy of discussion since the variable presentation that make clinical challenge to diagnose especially in infant. Conclusion: Presentation of mesenteric chylous cyst is rare, and there was no report about it in Amyand’s hernia. We report an unusual case of Type II Amyand’s hernia with an enlarging chylous mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. *Correspondence: drsupangat@unej.ac.id 4 Faculty of Medicine, Universitas Jember, Jl Kalimantan No 37, Krajan Timur, Sumber sari Kec Sumber sari, Jember 68121, East Java, Indonesia Full list of author information is available at the end of the article non-erythematous which was fixed and mildly tender to palpation (Fig. 1).

Results

Conclusion