Left-side incarcerated Amyand’s hernia with appendix and caecum provoke by early banana diet: a case report

Supangat, Pratama H.A., Sejati N.E.S., Romadhon B.D., Sulistyani I.

Pharmacology Department, Faculty of Medicine, Jember University, Jember, 68121, Indonesia; Molecular Biology Research Center, Jember University, Jember, 68121, Indonesia; Department of Pediatric Surgery, Dr. Soebandi Hospital, Jember, 68111, Indonesia; Emergency Department, Dr. Soebandi Hospital, Jember, 68111, Indonesia; Radiology Deparment, Dr. Koesnadi Hospital, Bondowoso, 68214, Indonesia


Background: Amyand’s hernia was an unusual condition defined by the presence of an appendix located in the inguinal hernia sac. Its prevalence was 1% of all inguinal hernia in children. The clinical manifestation of Amyand’s hernia was depending on hernia’s stage, an incarcerated hernia will present with an inguinal mass following by pain and motility disorder. It could lead to abdominal distention in the late stage. The common location of Amyand’s hernia was on the right side, the left side was uncommon. Early feeding on infants could provoke symptoms of bowel obstruction (SBO). More than 76% of infants in Java, Indonesia was given banana as solid food in infants before six months old. There is a correlation between the early banana diet and SBO. Amyand’s hernia could present as morbidity of early banana diet. Case presentation: We describe a case of two months old infant present with an incarcerated left inguinal hernia and history of early banana diet that performed herniotomy procedure. During the operation, we found left-side incarcerated Amyand’s hernia with appendicitis, excoriation caecum, and sticky banana mass. Conclusion: This case suggest the possibility of early feeding of banana diet may provoke incarceration of an inguinal hernia and if the incarcerated hernia content contains the appendix, then an Amyand’s hernia. © 2021, The Author(s).

Amyand’s hernia; Banana early feeding; Symptoms of intestinal obstruction


BMC Gastroenterology

Publisher: BioMed Central Ltd

Volume 21, Issue 1, Art No 165, Page – , Page Count

Journal Link: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85104359683&doi=10.1186%2fs12876-021-01752-2&partnerID=40&md5=37b816708f3c419ce701aa1fe4a1daf8

doi: 10.1186/s12876-021-01752-2

Issn: 1471230X

Type: All Open Access, Gold, Green


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