{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:41:50Z","timestamp":1792291310806,"version":"4.4.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Inguinoscrotal hernias account for ~2.7% of all inguinal hernias. Rare presentation limits the development of management guidelines for complex presentations of the condition. This case report reviews the management of an inguinoscrotal hernia containing perforated appendicitis with resultant necrotizing fasciitis. A 59-year-old male presented to the emergency department with worsening pain and edema in the right inguinal canal. Imaging revealed perforated appendicitis contained within an inguinoscrotal hernia, complicated by air in the abdominal wall consistent with necrotizing fasciitis. The patient was taken to the operating room for extensive wound debridement, appendectomy and orchiectomy with interval definitive hernia repair 48-h after index operation. This case demonstrates our success with a single 48-h operative interval, extended antibiotic course and biological mesh placement in the context of complicated inguinal hernia repair. Our experience with this patient should aim to inform future management of patients with similar conditions.<\/jats:p>","DOI":"10.1093\/jscr\/rjag576","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:22:33Z","timestamp":1786360953000},"source":"Crossref","is-referenced-by-count":1,"title":["Management of an Amyand\u2019s hernia complicated by necrotizing soft tissue infection: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5706-1121","authenticated-orcid":false,"given":"Erin","family":"Major","sequence":"first","affiliation":[{"name":"Department of Graduate Medical Education, Rowan-Virtua School of Osteopathic Medicine , 1 Medical Center Drive, Stratford, NJ 08084 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadhvika","family":"Ramji","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Virtua Hospital , 1660 Haddon Avenue, Camden, NJ 08103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Emrich","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Virtua Hospital , 1660 Haddon Avenue, Camden, NJ 08103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Renza Stingone","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Virtua Hospital , 1660 Haddon Avenue, Camden, NJ 08103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"2026081420461063200_ref1","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1007\/s10029-020-02281-9","article-title":"Differences in the outcomes of scrotal vs. lateral vs. medial inguinal hernias: a multivariable analysis of registry data","volume":"25","author":"K\u00f6ckerling","year":"2021","journal-title":"Hernia"},{"key":"2026081420461063200_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00268-021-05983-y","article-title":"Revisiting Amyand\u2019s hernia: a 20-year systematic review","volume":"45","author":"Manatakis","year":"2021","journal-title":"World J Surg"},{"key":"2026081420461063200_ref3","doi-asserted-by":"publisher","first-page":"989","DOI":"10.1016\/j.amjsurg.2013.07.043","article-title":"Amyand\u2019s hernia: a review","volume":"207","author":"Michalinos","year":"2014","journal-title":"Am J Surg"},{"key":"2026081420461063200_ref4","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s10029-025-03356-1","article-title":"Management of giant inguinal hernia; report of four cases and review of literature","volume":"29","author":"Olaoye","year":"2025","journal-title":"Hernia"},{"key":"2026081420461063200_ref5","doi-asserted-by":"publisher","first-page":"3241","DOI":"10.1177\/00031348231157828","article-title":"Incarcerated Amyand hernia associated with acute appendicitis and incidental finding of serrated adenoma","volume":"89","author":"McNamee","year":"2023","journal-title":"Am Surg"},{"key":"2026081420461063200_ref6","doi-asserted-by":"publisher","first-page":"1308","DOI":"10.1001\/jamasurg.2024.3365","article-title":"Necrotizing soft tissue infections: a review","volume":"159","author":"McDermott","year":"2024","journal-title":"JAMA Surg"},{"key":"2026081420461063200_ref7","doi-asserted-by":"publisher","first-page":"2492","DOI":"10.1111\/ans.17721","article-title":"Mesh versus non-mesh repair of groin hernias: a rapid review","volume":"92","author":"Smith","year":"2022","journal-title":"ANZ J Surg"},{"key":"2026081420461063200_ref8","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1001\/jamasurg.2025.4071","article-title":"Biological vs synthetic mesh in laparoendoscopic inguinal hernia repair: the BIOLAP randomized clinical trial","volume":"160","author":"Seefeldt","year":"2025","journal-title":"JAMA Surg"},{"key":"2026081420461063200_ref9","volume-title":"Transorb\u2122 Self-Gripping Resorbable Mesh [Internet]"},{"key":"2026081420461063200_ref10","doi-asserted-by":"publisher","first-page":"e81","DOI":"10.1016\/S1473-3099(22)00583-7","article-title":"Necrotising soft-tissue infections","volume":"23","author":"Hua","year":"2023","journal-title":"Lancet Infect Dis"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag576\/70653752\/rjag576.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag576\/70653752\/rjag576.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:46:17Z","timestamp":1786754777000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag576\/8761901"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag576","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"rjag576"}}