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Amyand's hernia in premature twins
E Baldassarre1, A Centonze, A Mazzei
1Division of Pediatric Surgery, Pugliese-Ciaccio Hospital, Via Pio X, 88100 Catanzaro, Italy. ebaldas@tiscali.it
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|September 16, 2008
Summary
Amyand's hernia (AH), the appendix in an inguinal sac, is rare in infants. This report details two premature twins successfully treated for right-sided AH with appendix preservation.
Area of Science:
- Pediatric Surgery
- Neonatology
- Gastrointestinal Surgery
Background:
- Amyand's hernia (AH) involves the vermiform appendix within an inguinal hernia sac.
- This condition is exceptionally rare in neonates and has not been previously reported in premature twins.
Observation:
- The case involves 32-day-old biovular premature twins presenting with right-sided Amyand's hernia.
- Both infants were treated surgically.
Findings:
- The surgical approach successfully preserved the appendix in both twins.
- Herniotomy was performed alongside appendix-sparing management.
Implications:
- This case expands the understanding of Amyand's hernia presentation in premature infants.
- The findings support conservative management strategies for AH in neonates, prioritizing appendix preservation.
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