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CC BY 4.0 · European J Pediatr Surg Rep. 2019; 07(01): e69-e71
DOI: 10.1055/s-0039-1697601
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Amyand's Hernia in a Neonate Presenting with Inguinoscrotal Erythema: A Difficult Diagnosis

Ahmed Mohamed 
1   Department of Paediatric Surgery, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary Infirmary Square Leicester, Leicester, United Kingdom of Great Britain and Northern Ireland
,
Anas Fagelnor
2   Department of Pediatric Surgery, Benha Children Hospital, Benha, Egypt
› Author Affiliations
Further Information

Publication History

19 May 2019

01 August 2019

Publication Date:
31 October 2019 (online)

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Abstract

The presence of the vermiform appendix, whether inflamed or not, inside a hernial sac is known as Amyand's hernia. Due to nonspecific signs, preoperative diagnosis is not common and requires a high index of suspicion along with awareness of this rare entity. It is more commonly mistaken for a strangulated or incarcerated inguinal hernia. Most cases of reported Amyand's hernia with appendicitis were in pre-term babies, infants, and post-menopausal women. We present a similar case in a 19-day-old, full-term baby presenting with inguinoscrotal edema, erythema, and without a palpable inguinoscrotal mass.

Keywords

Amyand's - appendicitis - inguinal hernia - neonate