{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T23:35:00Z","timestamp":1794440100119,"version":"4.9.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Amyand's hernia (AH) is a rare condition in which the vermiform appendix is incarcerated within the inguinal hernia (IH) sac. Although infrequent, it may become inflamed or perforated and can typically be diagnosed either intraoperatively or through radiographic findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 77-year-old male presented to the emergency room with constipation, fever, and an irreducible right inguinal bulge accompanied by slight localized discomfort that had persisted for ten days. Clinical examination was unremarkable, while ultrasound revealed a non-ischemic small bowel loop and a right testicular hydrocele, leading to a primary diagnosis of incarcerated IH. The patient was subsequently admitted for surgery, during which AH was confirmed. The appendix was inflamed, enlarged, and perforated, with localized abscess and internal inguinal ring stenosis. Subsequently, the surgical treatment involved appendectomy and hernia repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>According to the appendix condition, four subtypes of AH can be encountered, with type III -perforated appendicitis- being the focus of this report. In this case report, inguinal ring stenosis was the underlying cause of complications besides the unusual presentation features that were also attributed to adhesions that prevented peritoneal involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgeons should consider AH in the differential diagnosis of inguinal swelling and be familiar with the surgical management approach in the incidental event of AH during surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109346","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T11:43:42Z","timestamp":1706874222000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Amyand's hernia presented with strangulated and perforated appendicitis: A case report"],"prefix":"10.1097","volume":"116","author":[{"given":"Najlaa","family":"Fjleh","sequence":"first","affiliation":[{"name":"University of Aleppo, Faculty of Medicine, Aleppo, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maysoon","family":"Jadid","sequence":"additional","affiliation":[{"name":"University of Aleppo, Faculty of Medicine, Aleppo, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad Nabhan","family":"Sawas","sequence":"additional","affiliation":[{"name":"University of Aleppo, Faculty of Medicine, Aleppo, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael","family":"Alkhaleel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahamd","family":"Ghazal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-35-20260326","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.ijscr.2021.01.048","article-title":"Gangrenous appendicitis in Amyand's hernia: surgical approach under local anesthesia. Case report and review of the literature","volume":"79","author":"Caruso,","year":"2021","journal-title":"Int. J. Surg. Case Rep."},{"key":"R2-35-20260326","first-page":"329","article-title":"Of an inguinal rupture, 1ith a pin in the appendix coeci, incrusted with stone; and some observations on wounds in the guts","volume":"39","author":"Amyand","journal-title":"Phil Trans Royal Soc"},{"issue":"6","key":"R3-35-20260326","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1016\/j.amjsurg.2013.07.043","article-title":"Amyand's hernia: a review","volume":"207","author":"Michalinos,","year":"2014","journal-title":"Am. J. Surg."},{"issue":"8","key":"R4-35-20260326","doi-asserted-by":"crossref","first-page":"391","DOI":"10.4297\/najms.2011.3391","article-title":"An elective detection of an Amyand's hernia with an adhesive caecum to the sac: report of a rare case","volume":"3","author":"Sengul,","year":"2011","journal-title":"N. Am. J. Med. 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Monit."},{"issue":"10","key":"R6-35-20260326","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1016\/j.radcr.2020.07.042","article-title":"Identification of perforated appendicitis within a right inguinal hernia sac (Amyand's hernia) by emergency abdominal CT scan: a case report","volume":"15","author":"Dadzan,","year":"2020","journal-title":"Radiol Case Rep."},{"issue":"3","key":"R7-35-20260326","first-page":"37","article-title":"Perforated appendicitis with Peri-appendicular abscess in an Amyand's hernia","volume":"4","author":"Khatoon,","year":"2013","journal-title":"APSP J Case Rep."},{"issue":"5","key":"R8-35-20260326","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"1","key":"R9-35-20260326","first-page":"74","article-title":"Complicated acute appendicitis within a right inguinal hernia sac (Amyand's hernia): report of a case","volume":"18","author":"Kouskos,","year":"2014","journal-title":"Hippokratia"},{"issue":"12","key":"R10-35-20260326","first-page":"828","article-title":"Case report of a perforated appendix in the sac of inguinal hernia (Amyand's hernia)","volume":"49","author":"Ghafouri,","year":"2011","journal-title":"Acta Med Iran"},{"issue":"4","key":"R11-35-20260326","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/j.radcr.2021.01.057","article-title":"Amyand's hernia: presumptive diagnosis by CT and literature review","volume":"16","author":"Fezoulidi,","year":"2021","journal-title":"Radiol Case Rep."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224001275?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224001275?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:01:01Z","timestamp":1774540861000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.109346","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-12-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}