Gangrenous Amyand’s hernia in neonate: A great clinical masquerader


Amyand’s hernia [AH] is a rare condition with presence of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with very difficult preoperative diagnosis that does not affect management. We herein report a neonatal gangrenous AH masking all features of underlying bowel gangrene. In neonates, a great masquerader can mask all the features of underlying bowel gangrene and delay in diagnosis can be detrimental in context of outcome. A high index of suspicion of Amyand’s hernia with gangrene should be kept even if child presents with irreducible hernia without features of strangulation to prevent avoidable increase in morbidity and mortality.

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Pandey, V. , Gangopadhyay, A. , Gupta, D. and Sharma, S. (2013) Gangrenous Amyand’s hernia in neonate: A great clinical masquerader. Open Journal of Pediatrics, 3, 364-365. doi: 10.4236/ojped.2013.34065.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Vermillion, J.M., Abernathy, S.W. and Snyder, S.K. (1999) Laparoscopic reduction of Amyand’s hernia. Hernia, 3, 159-160.
[2] Logan, M.T. and Nottingham, J.M. (2001) Amyand’s hernia: A case report of an incarcerated and perforated appendix within an inguinal hernia and review of the literature. The American Journal of Surgery, 67, 628-629.
[3] D’Alia, C., Lo Schiavo, M.G., Tonante, A., et al. (2003) Amyand’s hernia: Case report and review of the literature. Hernia, 7, 89-91.
[4] Kueper, M.A., Kirschniak, A., Ladurner, R., Granderath, F.A. and Konigsrainer, A. (2007) Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicular abscess: Case report and review of the literature. Hernia, 11, 189-191.
[5] Priego, P., Lobo, E., Moreno, I., Sanchez-Picot, S., Olarte, M.A.G., Alonso, N., et al. (2005) Acute appendicitis in an incarcerated crural hernia: Analysis of our experience. Revista Espanola de Enfermedades Digestivas, 97, 707-715.
[6] Breitenstein, S., Eisenbach, C., Wille, G. and Decurtins, M. (2005) Incarcerated vermiform appendix in a leftsided inguinal hernia. Hernia, 9, 100-102.
[7] Laermans, S., Aerts, R. and De Man, R. (2007) Amyand’s hernia: Inguinal hernia with acute appendicitis. JBR-BTR, 90, 524-525.
[8] Tycast, J.F., Kumpf, A.L., Schwartz, T.L. and Coln, C.E. (2008) Amyand’s hernia: A case report describing laparoscopic repair in a pediatric patient. Journal of Pediatric Surgery, 43, 2112-2114.
[9] Meinke, A.K. (2007) Review article: Appendicitis in groin hernias. Journal of Gastrointestinal Surgery, 11, 1368-1372.
[10] Ballas, K., Kontoulis, T., Skouras, C., et al. (2009) Unusual findings in inguinal hernia surgery: Report of 6 rare cases. Hippokratia, 13, 169-171.

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