Neonatal perforated Amyand's hernia presenting as an enterocutaneous scrotal fistula

Panagidis, Antonios; Sinopidis, Xenophon; Zachos, Konstantinos; Alexopoulos, Vasileios; Vareli, Anastasia; Varvarigou, Anastasia; Georgiou, George

doi:10.1016/j.asjsur.2014.03.001

Cited by 19 publications

(29 citation statements)

References 13 publications

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“…21 Fistulae involving the urinary tract also included those which projected to the kidney (two cases), 52,53 ureter (four cases), [54][55][56][57] and one case of urachal cyst. 46 Of the patients with fistulae to the skin, 3,4,8,58-89 three of these were within Amyand (inguinal) hernias, 3,66 of which one patient also had a history of Hirschsprung's disease, 4 and another case projected from a De Gangerot (femoral) hernia. 83 The fistulae to vascular structures comprised 14 to the aorta 10,[90][91][92][93][94][95][96][97][98][99][100][101][102] and five to the iliac artery.…”

Section: Resultsmentioning

confidence: 99%

“…Of the patients with fistulae to the skin, three of these were within Amyand (inguinal) hernias, of which one patient also had a history of Hirschsprung's disease, and another case projected from a De Gangerot (femoral) hernia…”

Section: Resultsmentioning

confidence: 99%

“…The appendix was surgically removed using a ligature and the pin removed 'like that of a cork out of a bottle'. 2 The Amyand hernia, an inguinal hernia containing the appendix, 3 was named after this case. 4 Femoral hernias that contain the appendix are conventionally referred to as De Garengeot hernias, first described in 1731 by Rene Jacques de Garengeot.…”

Section: Introductionmentioning

confidence: 99%

“…The appendix was surgically removed using a ligature and the pin removed ‘like that of a cork out of a bottle’ . The Amyand hernia, an inguinal hernia containing the appendix, was named after this case …”

Section: Introductionmentioning

confidence: 99%

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Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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Background The appendix has a unique place in surgical history. Although the first ever appendicectomy involved a fistula to the skin, fistulae involving the appendix remain uncommon and can lead to unique surgical considerations. Methods A systematic review of the literature was performed for case reports of appendiceal fistulae. We excluded cases in which the patient had a history of appendicectomy. Cases were categorized by site and aetiology, with information regarding relative frequency and demographics obtained. Results A total of 301 case reports of fistula involving the appendix were found. The most common sites of these fistulae were to the bladder (148 cases), skin (40 cases), vasculature (19 cases), umbilicus (16 cases) and to the gastrointestinal tract. The most common aetiology in sub‐analysis was appendicitis alone (150 cases), with less common causes including appendiceal adenocarcinoma (32 cases) and congenital abnormalities (18 cases). There were significantly more appendiceal fistulae in males than in females, with a ratio of 1.7:1. In patients with appendiceal adenocarcinoma as a cause for fistula, there were significantly more females than males with a ratio of 2.3:1. Conclusion In conducting a systematic review of case reports of fistulae involving the appendix, we identified 301 unique case reports, with a range of different sites and aetiologies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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“…Indeed, Amyand’s hernias have been reported to present as blatant surgical emergencies such as a perforated appendix in an inguinal hernia presenting as Fournier’s gangrene, but also more subtly such as the giant left-sided Amyand’s hernia with an appendecial abscess without any clinical evidence of incarceration, strangulation, acute scrotum, or occlusion encountered by Mongardini et al [ [9] , [10] ]. The spectrum of Amyand’s presentations is equally diverse in pediatric populations as well, ranging from a neonate reported to have an Amyand’s hernia with a perforated appendix and enterocutaenous scrotal fistula to a six-year old boy whose appendix had been perforated by a metal pin [ [11] , [12] ].…”

Section: Discussionmentioning

confidence: 99%

Amyand’s hernia with acute gangrenous appendicitis and cecal perforation: A case report and review of the literature

Kromka

Rau²,

Fox

2018

International Journal of Surgery Case Reports

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HighlightsPresentation of a rare case of an Amyand’s hernia containing acute appendicitis and a perforated cecum.Diagnosis was intraoperative and an ileocecectomy followed by Bassini hernia repair produced a favorable patient outcome.Amyand’s hernias can contain a diverse range of features and presentations that can complicate diagnosis and treatment.Our case underscores the importance of considering an Amyand’s and individualizing treatment based on operative findings.

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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

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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.

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Neonatal perforated Amyand's hernia presenting as an enterocutaneous scrotal fistula

Cited by 19 publications

References 13 publications

Fistulae involving the appendix: a systematic review of the literature

Fistulae involving the appendix: a systematic review of the literature

Amyand’s hernia with acute gangrenous appendicitis and cecal perforation: A case report and review of the literature

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

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