Abstract
Left Amyand Hernia (AH) is a very rare form of inguinal hernia. It presents commonly as an incarcerated inguinal hernia and intraoperative diagnosis is usually the rule. This is a report of a 7 months old male infant presenting with bilateral inguinal hernia, including a complicated left AH, with associated mobile caecum and meatal stenosis. He had bilateral herniotomy, transhernial appendectomy and meatotomy and did well post-operatively. A comprehensive comparative review of all 35 reported cases of left AH in the literature was undertaken alongside this report.
Highlights
Obstructed Left Amyand’s Hernia in a Seven Month Male Infant with Meatal Stenosis: Case Report and Review of Literature
Left Amyand Hernia (AH) is a very rare form of inguinal hernia. It presents commonly as an incarcerated inguinal hernia and intraoperative diagnosis is usually the rule. This is a report of a 7 months old male infant presenting with bilateral inguinal hernia, including a complicated left AH, with associated mobile caecum and meatal stenosis
We report the 2nd case of left AH in sub-saharan Africa, and comparatively review the 35 reported cases of left AH in world literature
Summary
The first reported case of an appendix within an inguinal hernia sac is credited to the British surgeon Claudius Amyand[1] who in 1735 performed an appendectomy and herniorrhaphy on an 11year boy, with this rare form of hernia. The mobile caecum as part of the mobile caecum syndrome, is characterized by an abnormal or non-fixation of the caecum and ascending colon to the posterior abdominal wall This condition is reported to be present in 10-20% of the population.[14] The displaced appendix facilitates an AH, and more so a left-sided AH. AH usually present with clinical features in keeping with incarcerated inguinal hernia.[6,33] Being a clinical diagnosis, diagnostic imaging studies is not routinely employed preoperatively This invariably makes intraoperative diagnosis the rule.[11, 13, 23,31,34,38] In all but two cases reviewed, the diagnosis of left AH was made intraoperatively. The incidence of bilateral inguinal hernia is otherwise low, reportedly 10%.44 Meatotomy as performed in our reported case is therapeutic for this condition and eliminates a known risk factor for recurrence of hernia
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of BioMedical Research and Clinical Practice
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
