Surgery · Hernia (Inguinal, Femoral, Types, Repair)

A 3-year-old boy presents with a right inguinoscrotal swelling. At herniotomy, the vermiform appendix is found lying within the patent processus vaginalis. The correct name for this finding is:

  • A Amyand's hernia
  • B De Garengeot's hernia
  • C Littre's hernia
  • D Grynfeltt's hernia
Correct answer: A. Amyand's hernia

Explanation

An Amyand's hernia is an inguinal hernia containing the vermiform appendix, named after Claudius Amyand who performed the first recorded appendicectomy in such a case. De Garengeot's hernia is the analogous femoral hernia containing the appendix. Littre's hernia contains a Meckel's diverticulum, and Grynfeltt's is a superior lumbar triangle hernia. In children with an Amyand's hernia containing a normal appendix, appendicectomy is generally avoided and simple herniotomy done.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

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