{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:10:08Z","timestamp":1782126608203,"version":"3.54.5"},"reference-count":8,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,9,28]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>A 50-year-old man was referred to the emergency department by his general practitioner with a tender right-sided irreducible inguinal hernia (previously reducible), right-sided testicular pain and scrotal swelling. Clinical examination revealed a non-reducible, tender right inguinal-scrotal hernia and swollen right scrotum. Blood tests showed raised inflammatory markers. The patient went on to have a CT scan which was reported to show an indirect right inguinal-scrotal hernia possibly containing terminal ileum and small bowel mesentery. The scan also showed increased infiltrate changes within the hernia sac suggesting incarceration with possible early strangulation but no obvious evidence of bowel obstruction. The patient was taken to the operating theatre and found to have a large right inguinal-scrotal hernia containing pus and a perforated necrotic appendix. He went to have an appendicectomy and sutured repair of the hernia. Postoperatively, the patient made a good recovery and was discharged 2 days postsurgery.<\/jats:p>","DOI":"10.1136\/bcr-2019-231765","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T04:35:13Z","timestamp":1573014913000},"page":"e231765","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Perforated necrotic appendix in Amyand\u2019s hernia treated with appendicectomy and simple suture repair of the inguinal hernia"],"prefix":"10.1136","volume":"12","author":[{"given":"Muhamamd Isfandyar Khan","family":"Malik","sequence":"first","affiliation":[{"name":"General Surgery, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Abbas","sequence":"additional","affiliation":[{"name":"General Surgery, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Shuttleworth","sequence":"additional","affiliation":[{"name":"General Surgery, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nafees","family":"Qureshi","sequence":"additional","affiliation":[{"name":"General Surgery, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"2025082704063987000_12.11.e231765.1","doi-asserted-by":"crossref","first-page":"140","DOI":"10.12659\/MSM.889873","article-title":"Amyand's hernia: a review","volume":"20","author":"Ivanschuk","year":"2014","journal-title":"Med Sci Monit"},{"key":"2025082704063987000_12.11.e231765.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-006-0153-8"},{"key":"2025082704063987000_12.11.e231765.3","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ijscr.2018.04.034","article-title":"Amyand's hernia: a case report and review of the literature","volume":"47","author":"Shaban","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082704063987000_12.11.e231765.4","first-page":"700","article-title":"Perforated appendicitis within an inguinal hernia: case report and review of the literature","volume":"92","author":"Lyass","year":"1997","journal-title":"Am J Gastroenterol"},{"key":"2025082704063987000_12.11.e231765.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-005-0411-6"},{"key":"2025082704063987000_12.11.e231765.6","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s10029-002-0093-x","article-title":"Amyand's hernia: a report of two cases","volume":"7","author":"Solecki","year":"2003","journal-title":"Hernia"},{"key":"2025082704063987000_12.11.e231765.7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.ijscr.2018.04.019","article-title":"Amyand's hernia complicated with appendix perforation treated by two-stage surgery consisting of laparoscopic appendectomy followed by elective inguinal hernioplasty: a case report","volume":"47","author":"Akaishi","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082704063987000_12.11.e231765.8","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1177\/000313480707301221","article-title":"Amyand hernia: what lies beneath--a proposed classification scheme to determine management","volume":"73","author":"Losanoff","year":"2007","journal-title":"Am Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-231765","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:06:48Z","timestamp":1756292808000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-231765"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":8,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,11,5]]},"published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1136\/bcr-2019-231765"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-231765","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}