Abstract
Amyand’s hernia is a rare clinical entity in which the vermiform appendix is present within the inguinal hernia sac. Here, we report a 5-day-old neonate with dysmorphic features referred to us with a tender irreducible right inguino-scrotal swelling. Surgical exploration showed gangrenous appendix with a peri-appendicular abscess in the inguinal hernia sac. Appendectomy and right herniotomy was performed.
Highlights
Amyand’s hernia (AH) is rare with a reported incidence of 0.07-0.28% of all cases of inguinal hernia [1]
When appendix is present in the hernia sac, it is termed “Amyand’s hernia” (AH); named after Claudius Amyand, surgeon of King George II, who described this first in 1735 while operating on an 11-year-old boy for inguinal hernia [2]
AH is very rare and only few cases have been reported in neonates [3, 4]
Summary
Amyand’s hernia (AH) is rare with a reported incidence of 0.07-0.28% of all cases of inguinal hernia [1]. The presentation of AH is similar to that of any inguinal hernia, with erythema, tenderness and inability to reduce the contents, if hernia is incarcerated. We hereby report a case of complicated AH in a neonate who presented atypically with a tender right inguino-scrotal swelling.
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