Neonatal Appendicitis (Part 2): A Review of 24 cases with Inguinoscrotal Manifestation

The first successful appendicectomy is often credited to Lawson Tait (1880). But it was Claudius Amyand who, in 1735, successfully resected a perforated appendix from the hernia sac of an 11-year-old boy. In his honor, inguinal hernia containing vermiform appendix is named as Amyand hernia.[1,2] Mucus accumulation and ischemia of the entrapped appendix may precipitate infection and inflammation. In fact, Amyand’s patient presented with fecal fistula of scrotum due to ignored appendicitis. Athena is surprised that even after 280 years such neglected presentation still exists. In 2014 Panagidis et al [3] reported a 25day-old newborn with fecal discharge through the right scrotum following ruptured appendix in the hernial sac. Absorbed by the inordinate delay Athena looked closely into inguinoscrotal appendicitis of newborn.