title: Perforated Appendicitis with Peri-Appendicular Abscess in an Amyand's Hernia.
abstract: Amyand's hernia is a rare clinical condition in which a normal or an inflamed appendix lies in the inguinal hernial sac. Perforated appendicitis in an Amyand's hernia is even more uncommon. Herein we report such a rare case in a 4 month old baby who presented with an irreducible right inguino-scrotal swelling. Exploration revealed perforated appendix in the hernial sac with local abscess. A transherniotomy appendectomy was done. Postoperatively, the patient developed wound infection, which resolved with wound care. Pediatric / hernia surgeons must remember this rare clinical situation while managing children with acute right inguino-scrotal swellings.
authors.affiliation: Department of Pediatric Surgery, National Institute of Child Health (N.I.C.H), Karachi, Pakistan.
authors.forename: Ruquia
authors.initials: R
authors.lastname: Khatoon
authors.affiliation: Department of Pediatric Surgery, National Institute of Child Health (N.I.C.H), Karachi, Pakistan.
authors.forename: Yousuf Aziz
authors.initials: YA
authors.lastname: Khan
authors.affiliation: Department of Pediatric Surgery, National Institute of Child Health (N.I.C.H), Karachi, Pakistan.
authors.forename: Nasir Salim
authors.initials: NS
authors.lastname: Saddal
keywords: Amyand’s hernia; Perforated appendix; Peri-appendicular abscess