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Transuterine Fetal Tracheal Occlusion Model in Mice
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Amyand's hernia in infant: a rare entity.

V D Upadhyaya1, V Kumar, P Srivastava

  • 1Department of Paediatric Surgery, IMS, BHU, Varanasi, India. upadhyayavj@rediffmail.com

Kathmandu University Medical Journal (KUMJ)
|January 15, 2010
PubMed
Summary

Amyand's hernia, a rare condition where the vermiform appendix is in the inguinal sac, is exceptionally uncommon in infants. This case highlights a non-inflamed appendix in an infant's non-obstructed inguinal hernia, prompting discussion on appendiceal preservation.

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Area of Science:

  • Pediatric Surgery
  • Surgical Anatomy

Background:

  • Amyand's hernia, the presence of the vermiform appendix within an inguinal hernia sac, is a rare condition, occurring in 1% or less of inguinal hernias.
  • It is exceptionally rare in neonates and infants, with fewer than twenty cases reported in English literature.

Observation:

  • This report details a rare case of Amyand's hernia in a seven-month-old male infant.
  • The appendix was found within the right inguinal sac of a non-obstructed inguinal hernia during surgical exploration.
  • Unlike most reported cases, the appendix in this infant was not inflamed or perforated.

Findings:

  • The surgical procedure involved appendectomy (appendix removal) along with right inguinal herniotomy (hernia repair).
  • This case is notable due to the rarity in infants, the non-inflamed state of the appendix, and the absence of hernia obstruction.

Implications:

  • The case raises questions about the management of the appendix in similar rare pediatric presentations.
  • It prompts consideration of whether the appendix should be preserved or removed when found incidentally in non-obstructed inguinal hernias in infants.
  • Further discussion is warranted regarding the optimal surgical strategy for non-inflamed appendix in pediatric Amyand's hernia.