Amyand’s hernia, a rare finding for left incarcerated inguinal hernia in an infant: a case report

Abstract

Introduction and clinical importance: Amyand's hernia is a rare finding for pediatric inguinal hernia surgery. However, the left-sided location of Amyand's hernia is extremely rare. Case presentation: We report the case of a 2-year-old patient who was admitted for an incarcerated left inguinoscrotal hernia with intraoperative diagnosis of Amyand's hernia. Appendectomy and patent vaginalis ligation were done. Follow-up abdominal ultrasound and chest X-ray did not find midgut malrotation or situs inversus. Three months postoperatively, the patient is asymptomatic. Clinical discussion: In children presenting with a left incarcerated inguinal hernia, Amyand's hernia remains a differential diagnosis. Thinking of it preoperatively will allow the surgeon to prepare for different intraoperative possibilities and act according to current recommendations in the pediatric population. Conclusion: Despite its rarity, left-sided Amyand's hernia should be considered in an incarcerated left inguinal hernia.