Amyand's hernia in a preterm infant: Case report and literature review
Introduction: Amyand's hernia (AH) is a rare type of inguinal hernia that occurs when the appendix is trapped within the hernia sac. AH accounts for approximately 1% of all inguinal hernias. However, there is currently no comprehensive review on the manifestation of AH in preterm infants. Case...
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Elsevier
2023-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623000994 |
| _version_ | 1827868420641652736 |
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| author | Vicky Lu Kai-Hsiang Hsu Yung-Ching Ming Ming-Chou Chiang |
| author_facet | Vicky Lu Kai-Hsiang Hsu Yung-Ching Ming Ming-Chou Chiang |
| author_sort | Vicky Lu |
| collection | DOAJ |
| description | Introduction: Amyand's hernia (AH) is a rare type of inguinal hernia that occurs when the appendix is trapped within the hernia sac. AH accounts for approximately 1% of all inguinal hernias. However, there is currently no comprehensive review on the manifestation of AH in preterm infants. Case presentation: A male preterm infant, born at 31+5 weeks’ gestational age with a birthweight of 1040 g, presented with a right inguinal mass at 39 days of life. The inguinal mass was firm, irreducible and erythematous. The infant also exhibited symptoms of fever and poor feeding. An abdominal X-ray showed an obstructive ileus consistent with clusters of cyst-like gas bubbles suggesting pneumatosis intestinalis. Recognizing the urgent need for intervention, emergent surgery was performed. A transverse incision along the right inguinal crease. An intraoperative exploration revealed a gangrenous appendix within the hernia which indicating AH. Herniorrhaphy and appendectomy were successfully performed without any postoperative complications. Feeding was resumed 8 days after the surgery, and the infant was discharged soon with full recovery. Conclusion: AH is characterized by an irreducible inguinal mass that is predominantly found on the right side in preterm infants, especially males. In less mature infants, the manifestation of AH may be more severe. Therefore, AH should be considered in the differential diagnosis of infants with abdominal emergencies, and careful intra-operative assessment is essential. AH typically requires less complex treatment and has a favorable prognosis compared to other abdominal conditions in preterm infants. |
| first_indexed | 2024-03-12T15:31:27Z |
| format | Article |
| id | doaj.art-6c4eedd6b15943d2aee7504d0f90c92f |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-03-12T15:31:27Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-6c4eedd6b15943d2aee7504d0f90c92f2023-08-10T04:34:16ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-09-0196102673Amyand's hernia in a preterm infant: Case report and literature reviewVicky Lu0Kai-Hsiang Hsu1Yung-Ching Ming2Ming-Chou Chiang3School of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, Taiwan; Graduate Institute of Clinical Medical Science, Chang Gung University, Taoyuan, TaiwanDepartment of Pediatric Surgery, Chang Gung Memorial Hospital, Taoyuan, TaiwanSchool of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, Taiwan; Graduate Institute of Clinical Medical Science, Chang Gung University, Taoyuan, Taiwan; Corresponding author. Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital at Linkou 5, Fu-Shin Street, Gueishan Dist., Taoyuan, Taiwan.Introduction: Amyand's hernia (AH) is a rare type of inguinal hernia that occurs when the appendix is trapped within the hernia sac. AH accounts for approximately 1% of all inguinal hernias. However, there is currently no comprehensive review on the manifestation of AH in preterm infants. Case presentation: A male preterm infant, born at 31+5 weeks’ gestational age with a birthweight of 1040 g, presented with a right inguinal mass at 39 days of life. The inguinal mass was firm, irreducible and erythematous. The infant also exhibited symptoms of fever and poor feeding. An abdominal X-ray showed an obstructive ileus consistent with clusters of cyst-like gas bubbles suggesting pneumatosis intestinalis. Recognizing the urgent need for intervention, emergent surgery was performed. A transverse incision along the right inguinal crease. An intraoperative exploration revealed a gangrenous appendix within the hernia which indicating AH. Herniorrhaphy and appendectomy were successfully performed without any postoperative complications. Feeding was resumed 8 days after the surgery, and the infant was discharged soon with full recovery. Conclusion: AH is characterized by an irreducible inguinal mass that is predominantly found on the right side in preterm infants, especially males. In less mature infants, the manifestation of AH may be more severe. Therefore, AH should be considered in the differential diagnosis of infants with abdominal emergencies, and careful intra-operative assessment is essential. AH typically requires less complex treatment and has a favorable prognosis compared to other abdominal conditions in preterm infants.http://www.sciencedirect.com/science/article/pii/S2213576623000994Amyand's herniaInguinal herniaHerniaPretermCase report |
| spellingShingle | Vicky Lu Kai-Hsiang Hsu Yung-Ching Ming Ming-Chou Chiang Amyand's hernia in a preterm infant: Case report and literature review Journal of Pediatric Surgery Case Reports Amyand's hernia Inguinal hernia Hernia Preterm Case report |
| title | Amyand's hernia in a preterm infant: Case report and literature review |
| title_full | Amyand's hernia in a preterm infant: Case report and literature review |
| title_fullStr | Amyand's hernia in a preterm infant: Case report and literature review |
| title_full_unstemmed | Amyand's hernia in a preterm infant: Case report and literature review |
| title_short | Amyand's hernia in a preterm infant: Case report and literature review |
| title_sort | amyand s hernia in a preterm infant case report and literature review |
| topic | Amyand's hernia Inguinal hernia Hernia Preterm Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623000994 |
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