TITLE:
Gangrenous Amyand’s hernia in neonate: A great clinical masquerader
AUTHORS:
Vaibhav Pandey, Ajar Narayan Gangopadhyay, Dinesh Kumar Gupta, Shiv Prasad Sharma
KEYWORDS:
Hernia; Gangrenous Appendix; Strangulation; Inguinal; Appendicitis
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.3 No.4,
November
28,
2013
ABSTRACT: Amyand’s hernia [AH] is a rare condition with presence
of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with
very difficult preoperative diagnosis that does not affect management. We
herein report a neonatal gangrenous AH masking all features of underlying bowel
gangrene. In neonates, a great masquerader can mask all the features of underlying
bowel gangrene and delay in diagnosis can be detrimental in context of outcome.
A high index of suspicion of Amyand’s hernia with gangrene should be kept even
if child presents with irreducible hernia without features of strangulation to
prevent avoidable increase in morbidity and mortality.