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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
AMYAND’S HERNIA WITH TESTICULAR ISCHEMIA IN A PRETERM INFANT
Author
Ramnik Patel
Email
ramnik@doctors.org.uk
keyword
Amyand’s hernia, testicular ischemia, preterm infant, obstruction, inguinal hernia, sliding hernia.
Abstract
The finding of a normal or inflamed vermiform appendix within an inguinal hernia is termed Amyand’s hernia. We report a case in preterm infant which presented with obstructed hernia with difficult reduction and had an associated testicular ischemia at exploration. Difficulties in accurate preoperative diagnosis and dilemmas in management have been highlighted. A sliding hernia should be suspected if there is difficulty in reducing it and if it gives an impression of immediate recurrence. Amyand’s hernia is impossible to diagnose pre-operatively and it would be evident upon exploration. If the ischemia to bowel or testis is suspected with unsatisfactory complete reduction, immediate exploration should be undertaken. At exploration, a normal appendix should be left in situ rather than doing an incidental appendectomy as it may have immune function in infants and children. Appendicectomy, in addition, may convert a clean into potentially infected wound. Sliding hernia with obstruction and ischemia may be difficult challenge to repair and the recurrence may be higher.
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