Amyand’s Hernia in Children

Özet

Introduction: Amyand’s hernia is the rare presentation of the vermiform appendix in an inguinal hernia sac. This study is an evaluation of perioperative diagnoses of Amyand’s hernia. Methods: This retrospective study was carried out using the data of patients who were admitted to the Selcuk University Faculty of Medicine Department of Pediatric Surgery between November 2011 and December 2017. The clinical data of age and sex of the patient, side of the hernia location, admission complaints, and the treatment were assessed. Results: During the study period, 1668 patients, 1279 males and 309 females, underwent an inguinal herniorrhaphy at this center. Amyand’s hernia was diagnosed in 14 (0.83%) cases. All were male and had a right-sided Amyand’s hernia. The median age was 7.5 months. Swelling was observed in 12 patients, postoperative recurrent swelling was seen in 1, and incarceration in 1. An appendectomy was performed with the herniorrhaphy in 1 case; in the remainder the appendix vermiformis was reduced. Discussion and Conclusion: Amyand’s hernia is a rare condition in children, and the diagnosis is generally made during surgery. When diagnosed, the appendix should be examined carefully. In the presence of an inflamed appendix, an appendectomy should be performed.