Amyand's hernia with perforated appendicitis complicated by post-operative bowel Necrosis in an extremely preterm infant

Patel, Sonal; McKee, Jason; Maxwell, Jessie R.

doi:10.1016/j.epsc.2020.101486

Cited by 2 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority of these complications was minor (CD grades I–II): N = 5 surgical site infection, and N = 3 (paralytic) ileus or slow peristalsis, N = 8 other. The remainder of complications was major (CD grades III–IV): N = 2 adhesive ileus requiring secondary surgery, N = 1 wound dehiscence requiring surgery, N = 1 secondary surgery due to perforation with NEC as underlying pathology, N = 1 secondary surgery due to intestinal stricture requiring subtotal resection with NEC as underlying pathology, N = 1 secondary surgery with placement of a transverse colostomy with Hirschsprung disease as underlying pathology 22,25,98,118 . An overview is provided in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review

The,

Derikx

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and AimsAlthough appendicitis is rare in young infants, the reported mortality is high. Primary aim of this systematic review was to provide updated insights in the mortality and morbidity (postoperative complications, Clavien‐Dindo grades I–IV) of appendicitis in infants ≤3 months of age. Secondary aims comprised the evaluation of patient characteristics, diagnostic work‐up, treatment strategies, comorbidity, and factors associated with poor outcome.MethodsThis systematic review was reported according to the PRISMA statement with a search performed in Pubmed, Embase and Web of Science (up to September 5th 2022). Original articles (published in English ≥1980) reporting on infants ≤3 months of age with appendicitis were included. Both patients with abdominal appendicitis and herniated appendicitis (such as Amyand's hernia) were considered. Data were provided descriptively.ResultsIn total, 131 articles were included encompassing 242 cases after identification of 4294 records. Overall, 184 (76%) of the 242 patients had abdominal and 58 (24%) had herniated appendicitis. Two‐hundred (83%) of the patients were newborns (≤28 days) and 42 (17%) were infants between 29 days and ≤3 months of age. Either immediate, or after initial conservative treatment, 236 (98%) patients underwent surgical treatment. Some 168 (69%) patients had perforated appendicitis. Mortality was reported in 20 (8%) patients and morbidity in an additional 18 (8%). All fatal cases had abdominal appendicitis and fatal outcome was relatively more often reported in newborns, term patients, patients with relevant comorbidity, nonperforated appendicitis and those presented from home.ConclusionMortality was reported in 20 (8%) infants ≤3 months of age and additional morbidity in 18 (8%). All patients with fatal outcome had abdominal appendicitis. Several patient characteristics were relatively more often reported in infants with poor outcome and adequate monitoring, early recognition and prompt treatment may favour the outcome.

show abstract

Section: Resultsmentioning

confidence: 99%

Appendicitis and its associated mortality and morbidity in infants up to 3 months of age: A systematic review

The,

Derikx

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…The presence of the appendix within the hernial sac is often an incidental finding during surgical intervention, because pre-operative diagnosis is extremely difficult with accepted imaging modalities in the setting of strangulated hernia and testicular torsion [1]. In addition, the diagnosis of Amyand's hernia is rarely on the differential for most clinicians due to lack of awareness of the condition [1].…”

Section: Discussionmentioning

confidence: 99%

“…However, acute appendicitis in association with an inguinal hernia in this age group is a rare finding. This type of hernia is referred to as an Amyand hernia [1]. Amyand's hernia is a term used to describe an inguinal hernia containing either a normal or inflamed vermiform appendix in an incarcerated inguinal hernia.…”

Section: Introductionmentioning

confidence: 99%

“…Amyand's hernia is a term used to describe an inguinal hernia containing either a normal or inflamed vermiform appendix in an incarcerated inguinal hernia. It was first described in 1735 & subsequently named after Claudius Amyand, after he successfully performed an appendectomy on an 11-year-old boy with the above presentation [1].…”

Section: Introductionmentioning

confidence: 99%

“…When looking at the cases of appendicitis, it is also extremely rare in the neonatal period with only 0.1% of cases being detected & has only been reported to occur in around 2% of the pediatric patients under the age of 12 months [1]. Of the 0.1% of the neonatal appendicitis, it has been noted that 1/3 of such cases are associated with Amyand's hernia [1].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations