Case report: Amyand hernia reincarnate and the utility of computed tomography
Abstract Background An Amyand hernia is a rare condition in which the vermiform appendix follows the bowel as it bulges through the inguinal canal. Originally described by Claudius Amyand in 1735 in an 11-year-old boy who had a pin in the appendix (Philos Trans R Soc Lond. 1735;39:329–36), we descri...
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doaj-034c7ca641ac42c1b41eade94dd7a0422020-11-25T03:57:33ZengSpringerOpenAnnals of Pediatric Surgery2090-53942020-10-011611610.1186/s43159-020-00042-yCase report: Amyand hernia reincarnate and the utility of computed tomographyJoshua Fields0Kristen Quinn1Laura Hollinger2Richard Jones3Medical University of South CarolinaDepartment of Surgery, Division of Pediatric Surgery, Medical University of South CarolinaDepartment of Surgery, Division of Pediatric Surgery, Medical University of South CarolinaDepartment of Radiology and Radiological Sciences, Division of Pediatrics, Medical University of South CarolinaAbstract Background An Amyand hernia is a rare condition in which the vermiform appendix follows the bowel as it bulges through the inguinal canal. Originally described by Claudius Amyand in 1735 in an 11-year-old boy who had a pin in the appendix (Philos Trans R Soc Lond. 1735;39:329–36), we describe here the first case with CT depicting all components of Dr. Amyand’s original case. Case presentation A 10-year-old boy presented with right lower quadrant and groin pain. CT imaging revealed a retained metallic foreign body perforating the appendix, acute appendicitis, and an Amyand hernia. A laparoscopic attempt at reduction failed due to tethering by the needle and inflammation of the hernia sac, requiring an open inguinal exploration and excision of the hernia sac. The patient was discharged on postoperative day 2 with plans for delayed hernia repair. Conclusions CT is a crucial diagnostic test for surgical decision-making in Amyand hernias. In this case, it accurately classified the hernia and led to anticipation of unsuccessful laparoscopic hernia reduction. Management in the setting of foreign body and perforation includes appendectomy and tissue herniorrhaphy with delayed formal inguinal hernia repair after inflammation has subsided.http://link.springer.com/article/10.1186/s43159-020-00042-yAmyand herniaNeedleAppendixComputed tomographyCase report |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joshua Fields Kristen Quinn Laura Hollinger Richard Jones |
spellingShingle |
Joshua Fields Kristen Quinn Laura Hollinger Richard Jones Case report: Amyand hernia reincarnate and the utility of computed tomography Annals of Pediatric Surgery Amyand hernia Needle Appendix Computed tomography Case report |
author_facet |
Joshua Fields Kristen Quinn Laura Hollinger Richard Jones |
author_sort |
Joshua Fields |
title |
Case report: Amyand hernia reincarnate and the utility of computed tomography |
title_short |
Case report: Amyand hernia reincarnate and the utility of computed tomography |
title_full |
Case report: Amyand hernia reincarnate and the utility of computed tomography |
title_fullStr |
Case report: Amyand hernia reincarnate and the utility of computed tomography |
title_full_unstemmed |
Case report: Amyand hernia reincarnate and the utility of computed tomography |
title_sort |
case report: amyand hernia reincarnate and the utility of computed tomography |
publisher |
SpringerOpen |
series |
Annals of Pediatric Surgery |
issn |
2090-5394 |
publishDate |
2020-10-01 |
description |
Abstract Background An Amyand hernia is a rare condition in which the vermiform appendix follows the bowel as it bulges through the inguinal canal. Originally described by Claudius Amyand in 1735 in an 11-year-old boy who had a pin in the appendix (Philos Trans R Soc Lond. 1735;39:329–36), we describe here the first case with CT depicting all components of Dr. Amyand’s original case. Case presentation A 10-year-old boy presented with right lower quadrant and groin pain. CT imaging revealed a retained metallic foreign body perforating the appendix, acute appendicitis, and an Amyand hernia. A laparoscopic attempt at reduction failed due to tethering by the needle and inflammation of the hernia sac, requiring an open inguinal exploration and excision of the hernia sac. The patient was discharged on postoperative day 2 with plans for delayed hernia repair. Conclusions CT is a crucial diagnostic test for surgical decision-making in Amyand hernias. In this case, it accurately classified the hernia and led to anticipation of unsuccessful laparoscopic hernia reduction. Management in the setting of foreign body and perforation includes appendectomy and tissue herniorrhaphy with delayed formal inguinal hernia repair after inflammation has subsided. |
topic |
Amyand hernia Needle Appendix Computed tomography Case report |
url |
http://link.springer.com/article/10.1186/s43159-020-00042-y |
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