Paediatria Croatica, Vol. 59 No. 1, 2015.
Stručni rad
https://doi.org/10.13112/PC.2015.8
Appendicitis within inguinal hernia – case report of a premature newborn with Amyand’s hernia
Mirta Starčević
; Klinički bolnički centar Zagreb
Ruža Grizelj
Stanko Ćavar
Ana Čolić
Dorotea Ninković
Sažetak
Acute appendicitis within an inguinal hernia is an extremely rare condition among premature newborns with estimated incidence
ranging from 0.08% to 0.13%. The diagnosis of this extraordinary entity, known as Amyand’s hernia according to the author who fi rst
described it, is often accidental and usually established intraoperatively. We report a case of a boy born at 28 weeks of gestation, who
presented with incarcerated right inguinal hernia on his thirty day of life. Surgical intervention was both a diagnostic and therapeutic
procedure. Intraoperative diagnosis of Amyand’s hernia was established based on the fi nding of non-perforated, gangrenous
appendicitis within the inguinal hernial sac. Appendectomy and hernia repair followed by long-term antibiotic treatment led to
complete infant’s recovery. This case report reminds that regardless of its rarity, clinicians should be aware of Amyand’s hernia in the
evaluation of incarcerated right side inguinal hernia in preterm newborns.
Ključne riječi
appendicitis; premature birth; hernia
Hrčak ID:
142407
URI
Datum izdavanja:
26.3.2015.
Posjeta: 1.401 *