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2019, Number 2

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Rev Sanid Milit Mex 2019; 73 (2)

Approach of the Amyand hernia and intestinal malrotation in a pediatric patient. A case report

Noyola-Villalobos HF, Moreno-Delgado LF, Guillén-Hernández GA, Ruiz-Rodríguez C

Language: Spanish
References: 11
Page: 155-158
PDF size: 216.42 Kb.


ABSTRACT

Introduction: The Amyand hernia is an extremely rare entity defined as the protrusion of the cecal appendix through a hernial sac in an inguinal hernia. Presentation of a case: A 16 months old male, with a suspicion of a not complicated, stricture left scrotal inguinal hernia, performing his surgical approach with a trans-surgery finding with cecal appendix and an acute appendicitis besides a bad intestinal rotation, performing his definitive treatment by laparotomy. Discussion: The classic treatment of the Amyand hernia includes appendectomy and the repair of the hernia at the same time and in the same incision, however, in this case, a poor intestinal rotation was found, and therefor Laparotomy and resolution of the abdominal condition with fixation point of the cecum in the right parietocolica slider were performed. Conclusion: Its incidence is less than 0.1% and the cases reported are found on the right inguinal region. The knowledge of this rare entity may help surgeons to be ready to identify and treat it properly.


REFERENCES

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