Amyand’s hernia in children

Introduction: Amyand’s hernia is the rare presentation of the vermiform appendix in an inguinal hernia sac. This study is anevaluation 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 UniversityFaculty of Medicine Department of Pediatric Surgery between November 2011 and December 2017. The clinical data of ageand 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 thiscenter. Amyand’s hernia was diagnosed in 14 (0.83%) cases. All were male and had a right-sided Amyand’s hernia. The medianage was 7.5 months. Swelling was observed in 12 patients, postoperative recurrent swelling was seen in 1, and incarcerationin 1. An appendectomy was performed with the herniorrhaphy in 1 case; in the remainder the appendix vermiformis wasreduced.Discussion and Conclusion: Amyand’s hernia is a rare condition in children, and the diagnosis is generally made duringsurgery. When diagnosed, the appendix should be examined carefully. In the presence of an inflamed appendix, an appendectomyshould be performed.