The Turkish Journal of Pediatrics 2020 , Vol 62 , Num 5
A rare cause of inguinal abscess: perforated appendicitis due to foreign body in Amyand`s hernia
Tugay Tartar 1 ,Mehmet Saraç 1 ,Ünal Bakal 1 ,Mehmet Ruhi Onur 2 ,Ahmet Kazez 1
1 Department of Pediatric Surgery, Fırat University Faculty of Medicine, Elazığ, Turkey
2 Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
DOI : 10.24953/turkjped.2020.05.026 Background. Amyand`s hernia is rarely noted in children, and appendicitis caused by a foreign body in Amyand`s hernia is even rarer.

Case. A 2-year-old girl presented with recurrent conglomerate lymph node enlargements and an abscess in the right groin existing for one year despite medical treatment. Direct radiography revealed a foreign body in the right inguinal region. Computed tomography showed a foreign body and soft tissue inflammation in the inguinal canal. Laparotomy was performed, and Amyand`s hernia was diagnosed. A foreign body was found in the lumen of the appendix vermiformis causing perforated appendicitis. This case is presented because of its rarity and unusual clinical presentation.

Conclusion. Amyand`s hernia should be considered in paediatric cases with the history of recurrent inguinal abscesses. Keywords : Amyand`s hernia, inguinal abscess, perforated appendicitis, foreign body

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