A rare case of Amyand's hernia with a perforated appendix in a 1-month-old male: a case report.

Amyand's hernia, defined as the presence of the vermiform appendix within an inguinal hernia sac, is a rare condition, particularly in neonates. This report describes a 1-month-old preterm male presenting with scrotal swelling, vomiting, watery stools, and excessive crying. Examination revealed abdominal distension and an irreducible, tender right groin swelling, initially diagnosed as an obstructed inguinal hernia. Intraoperative findings confirmed a perforated appendix within the hernia sac, necessitating appendectomy and herniotomy. The patient recovered uneventfully, resuming feeding within 24 h and being discharged 48 h postoperatively with normal bowel function. This case underscores the diagnostic challenges and successful surgical management of perforated Amyand's hernia in a neonate, highlighting the importance of prompt intervention to prevent complications.