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Amyand’s hernia with appendicitis masquerading as Fournier’s gangrene: a case report and review of the literature

Overview of attention for article published in Journal of Medical Case Reports, September 2016
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Title
Amyand’s hernia with appendicitis masquerading as Fournier’s gangrene: a case report and review of the literature
Published in
Journal of Medical Case Reports, September 2016
DOI 10.1186/s13256-016-1046-9
Pubmed ID
Authors

Kishore Rajaguru, Daniel Tan Ee Lee

Abstract

The incarceration of an appendix within an inguinal hernia sac is known as Amyand's hernia. Appendicitis in Amyand's hernia accounts for 0.1 % of the cases. An aggressive necrotizing infection of the genitalia and perineum, called Fournier's gangrene, can rapidly progress to sepsis and death. We describe a rare case of Fournier's gangrene complicating Amyand's inguinal hernia which has rarely been reported in the literature. This case report describes the presentation and management of a 47-year-old Chinese man who presented with pus discharge from his right inguinoscrotal region and lower abdominal pain with clinical signs of Fournier's gangrene. On surgical exploration, a complicated Amyand's hernia (Losanoff and Basson classification type 4) was found to be the cause of his Fournier's gangrene. A perforated appendix within an inguinal hernia causing Fournier's gangrene is rarely seen in clinical practice. The diagnosis of this condition is almost always made intraoperatively. Early recognition and awareness of perforated appendicitis within an inguinal hernia sac as one of the causes of Fournier's gangrene and good surgical technique in such cases are the keys to success when dealing with this surgical issue. In complicated presentations of Amyand's hernia, an appendicectomy with anatomical repair is the best treatment. It is better to avoid meshplasty.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 11 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 11 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 3 27%
Professor 2 18%
Student > Bachelor 2 18%
Student > Master 1 9%
Lecturer 1 9%
Other 2 18%
Readers by discipline Count As %
Medicine and Dentistry 8 73%
Unspecified 1 9%
Unknown 2 18%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 September 2016.
All research outputs
#9,071,167
of 11,329,665 outputs
Outputs from Journal of Medical Case Reports
#935
of 1,684 outputs
Outputs of similar age
#181,668
of 259,066 outputs
Outputs of similar age from Journal of Medical Case Reports
#41
of 98 outputs
Altmetric has tracked 11,329,665 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,684 research outputs from this source. They receive a mean Attention Score of 3.4. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
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We're also able to compare this research output to 98 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.