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Acute scrotum: A rare presentation
Jayalaxmi S. Aihole1, Narendrababu M.2, Deepak J.1, Vinay Jadhav1, Ramesh S.3
1Assistant Professor, Department of Pediatric Surgery, IGICH Bangalore, Karnataka, India.
2Associate Professor, Department of Pediatric Surgery, IGICH, Bangalore, Karnataka, India.
3Professor and HOD, Department of Pediatric Surgery, IGICH, Bangalore, Karnataka, India.

doi:10.5348/ijcri-201504-CS-10055

Address correspondence to:
Dr. Jayalaxmi Shripati Aihole
Assistant Professor, Department of Pediatric Surgery
IGICH Bangalore
Karnataka
India

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How to cite this article
Aihole JS, Narendrababu M, Deepak J, Jadhav V, Ramesh S. Acute scrotum: A rare presentation. Int J Case Rep Images 2015;6(5):267–271.


Abstract
Introduction: Amyand's hernia (AH) is an inguinal hernia containing the appendix, which is normal or inflamed. This condition is extremely rare in children, especially in infants. This phenomenon was described in 1735, when Claudius Amyand performed a successful appendectomy on an 11 year-old boy who presented with an appendix in hernia sac; so, in his honor, his name was given to this type of hernia. It is seldom diagnosed preoperatively due to its unusual and infrequent clinical presentation; management involves herniotomy and appendicectomy if indicated.
Case Series: We are reporting two cases of AH, one in a four-year-old presented with partially reducible hernia; and another in a neonate who presented with acute epididymo-orchitis like picture.
Conclusion: Preoperative diagnosis of AH is rare but not very difficult with the current radiological investigations. Choice of the operation is appendectomy if appendix is inflamed, and hernitomy.

Keywords: Amyand's hernia, Inguinoscrotal swelling. Congenital inguinal hernia


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Author Contributions:
Jayalaxmi S. Aihole – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Narendrababu M. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Deepak J. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vinay Jadhav – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ramesh S. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Jayalaxmi S. Aihole et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Jayalaxmi Shripati Aihole is Assistant Professor at Department of Pediatric Surgery, Indira Gandhi Institute of Child Health Institute, Rajiv Gandhi University of Health Sciences, Bengaluru, India. She earned the undergraduate degree (MBBS) from Karnataka Institute of Medical Sciences, Karnataka University of Dharwad, HUBLI, India and postgraduate degree form (General Surgery) from Vijayanagar Institute of Medical Sciences, Rajiv Gandhi University of Health Sciences, Bellary, India. Mch in Pediatric Surgery from Kasturbal medical college, Manipal, Manipal University, India. She has published one in national and three in international journals. Her research interests include urethral duplication and biliary atresia.



Narendrababu M. is Associate Professor in pediatric surgery at Indira gandhi Institute of child health, Bangalore, Karnataka, India. He earned the undergraduate degree, MBBS from Government medical college Bellary and postgraduate degree, Masters in general surgery from Government medical college Bellary, Gulbarga university in the state of Karnataka, India. He Completed his Paediatric surgery training (Mch paediatric surgery) from Grants medical college, Bombay in the year 2002. He was stecker's exchange scholar at Nationwide children's in Columbus Ohio, USA. He has published eight research papers in national and international academic journals and co-authored one book. His research interests include vesicoureteric reflux, hypospadias and neurogenic bladder dysfunction. He intends to pursue pediatric urology in future.



Deepak Javaregowda is Assistant Professor at Name of Department of Pediatric Surgery, Indira Gandhi Institute of child health, RGUHS, Bengaluru, India. He earned the undergraduate degree MBBS from Mysore Medical college, RGUHS, Mysore, India and postgraduate (General Surgery) degree form from Bangalore Medical College, RGUHS, Bengaluru, India. Mch in Paediatric Surgery from Sri Ramachandra Mediacl College, Chennai, India. DNB in Pediatric Surgery. PGDMLE from National law school of India University, Bengaluru. He has published five research papers in national journals. His research interests include Pediatric surgical oncology, paediatric neurosurgery. He intends to pursue PhD's, Postdocs in pediatric surgical oncology in future.



Vinay Jadhav is Assistant Professor in Department of Paediatric Surgery at IGICH, RGUHS, Bengaluru, India. He earned the undergraduate degree (MBBS ) from JJMMC, Kuvempu University, Davanagere, India) and postgraduate degree form (Masters in General Surgery) from AIMS, RGUHS, Bengaluru, India. Mch in pediatric surgery From King Edward Memorial Hospital, Mumbai, India. He has published research papers in national 5 and 7 international academic journals. His research interests include (Pediatric urology). He intends to pursue for PhD's/Postdocs in paedaitric urology in future.



Ramesh S. is Professor and HOD, Department of Pediatric Surgery, IGICH, Bangalore, Karnataka, India.