Abdominal tuberculosis is a significant cause of morbidity and mortality in children in developing countries. Primary involvement of appendix is very rare. Presentation is usually non specific and diagnosis is made in...Abdominal tuberculosis is a significant cause of morbidity and mortality in children in developing countries. Primary involvement of appendix is very rare. Presentation is usually non specific and diagnosis is made in most cases on histopathlogical examination following appendicectomy. This to our knowledge is the first case of appendicular tuberculosis presenting primarily as spontaneous enterocutaneous fistula over front of right thigh. Barium meal follow-through was diagnostic. Appendicectomy was performed followed by anti-tubercular treatment which was curative.展开更多
Amyand’s hernia [AH] is a rare condition with presence of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with very difficult preoperative diagnosis that does not affect management. We herein re...Amyand’s hernia [AH] is a rare condition with presence of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with very difficult preoperative diagnosis that does not affect management. We herein report a neonatal gangrenous AH masking all features of underlying bowel gangrene. In neonates, a great masquerader can mask all the features of underlying bowel gangrene and delay in diagnosis can be detrimental in context of outcome. A high index of suspicion of Amyand’s hernia with gangrene should be kept even if child presents with irreducible hernia without features of strangulation to prevent avoidable increase in morbidity and mortality.展开更多
文摘Abdominal tuberculosis is a significant cause of morbidity and mortality in children in developing countries. Primary involvement of appendix is very rare. Presentation is usually non specific and diagnosis is made in most cases on histopathlogical examination following appendicectomy. This to our knowledge is the first case of appendicular tuberculosis presenting primarily as spontaneous enterocutaneous fistula over front of right thigh. Barium meal follow-through was diagnostic. Appendicectomy was performed followed by anti-tubercular treatment which was curative.
文摘Amyand’s hernia [AH] is a rare condition with presence of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with very difficult preoperative diagnosis that does not affect management. We herein report a neonatal gangrenous AH masking all features of underlying bowel gangrene. In neonates, a great masquerader can mask all the features of underlying bowel gangrene and delay in diagnosis can be detrimental in context of outcome. A high index of suspicion of Amyand’s hernia with gangrene should be kept even if child presents with irreducible hernia without features of strangulation to prevent avoidable increase in morbidity and mortality.
