Incarcerated Amyand's hernia in a premature infant associated with circumcision: a case report and literature review.
Park J, Hemani M, Milla SS, Rivera R, Nadler E, Alukal JP
School of Medicine, SUNY at Stony Brook, Stony Brook, NY, USA, james.park@hsc.stonybrook.edu.
Amyand's hernia is a rare presentation of an appendix within an inguinal hernia sac. It is commonly mistaken for an incarcerated or strangulated hernia. Prompt diagnosis requires awareness of this entity, as well as associated radiologic findings on computed tomography (CT) and ultrasound. Treatment includes antibiotics and surgical intervention involving appendectomy and hernia repair. We present a case of a premature infant who developed systemic symptoms after a circumcision and was eventually diagnosed with an Amyand's hernia with concurrent appendicitis.
Published 16 December 2009 in Hernia.
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