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Case Report

Amyand’s Hernia in a Child with Permanent Neonatal Diabetes Due to Pancreatic Agenesis

by
Alessandro Giannattasio
1,*,
Riccardo Campus
2,
Monica Muraca
1,
Giorgio Lucigrai
3,
Alberto Michelazzi
2,
Etayeb Mahmud Eljerbi
3,
Renata Lorini
1 and
Giuseppe d'Annunzio
1
1
Department of Pediatrics, University of Genoa, Giannina Gaslini Institute, Genova, Italy
2
Department of Pediatric Surgery, Giannina Gaslini Institute, Genova, Italy
3
Department of Pediatric Radiology, Giannina Gaslini Institute, Genova, Italy
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2009, 1(1), e6; https://doi.org/10.4081/pr.2009.e6
Submission received: 15 July 2009 / Revised: 15 July 2009 / Accepted: 12 October 2009 / Published: 20 November 2009

Abstract

Acute or perforated appendicitis within inguinal hernia is rarely encountered and it is known as Amyand’s hernia. We report on the first case occurring in a 4-year-old boy affected by permanent neonatal diabetes mellitus due to pancreatic agenesis, an extremely rare condition. The initial suspicion of inguinal hernia was confirmed by ultrasound examination of the right inguinal region which revealed omental layers inside a swollen inguinal canal; this finding and the clinical presentation allowed a prompt and appropriate surgical management. The careful evaluation of this patient and early recognition of this unique presentation of appendicitis allowed trans-hernial appendectomy and immediate herniorrhaphy. Ultrasonography played a pivotal role to reach the correct diagnosis and to start a prompt treatment.
Keywords: Amyand’s Hernia; Neonatal Diabetes; Pancreas Agenesis; Ultrasonography Amyand’s Hernia; Neonatal Diabetes; Pancreas Agenesis; Ultrasonography

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MDPI and ACS Style

Giannattasio, A.; Campus, R.; Muraca, M.; Lucigrai, G.; Michelazzi, A.; Eljerbi, E.M.; Lorini, R.; d'Annunzio, G. Amyand’s Hernia in a Child with Permanent Neonatal Diabetes Due to Pancreatic Agenesis. Pediatr. Rep. 2009, 1, e6. https://doi.org/10.4081/pr.2009.e6

AMA Style

Giannattasio A, Campus R, Muraca M, Lucigrai G, Michelazzi A, Eljerbi EM, Lorini R, d'Annunzio G. Amyand’s Hernia in a Child with Permanent Neonatal Diabetes Due to Pancreatic Agenesis. Pediatric Reports. 2009; 1(1):e6. https://doi.org/10.4081/pr.2009.e6

Chicago/Turabian Style

Giannattasio, Alessandro, Riccardo Campus, Monica Muraca, Giorgio Lucigrai, Alberto Michelazzi, Etayeb Mahmud Eljerbi, Renata Lorini, and Giuseppe d'Annunzio. 2009. "Amyand’s Hernia in a Child with Permanent Neonatal Diabetes Due to Pancreatic Agenesis" Pediatric Reports 1, no. 1: e6. https://doi.org/10.4081/pr.2009.e6

APA Style

Giannattasio, A., Campus, R., Muraca, M., Lucigrai, G., Michelazzi, A., Eljerbi, E. M., Lorini, R., & d'Annunzio, G. (2009). Amyand’s Hernia in a Child with Permanent Neonatal Diabetes Due to Pancreatic Agenesis. Pediatric Reports, 1(1), e6. https://doi.org/10.4081/pr.2009.e6

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