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

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.