A rare case of Amyand hernia with acute appendicitis in a 7-day-old child

Abstract

Amyand hernia is an extremely rare type of inguinal hernia where the vermiform appendix resides within the hernial sac. We presented a case of a 7-day-old male patient who presented to the ER with an irreducible right congenital inguinal hernia for 6 hours. The patient underwent surgical correction for the hernia where a thick, elongated, and inflamed appendix was identified within the hernia sac, ligated and excised to be sent for histopathological evaluation. Amyand hernia, as well as acute appendicitis in neonates, is an extremely rare condition, and in most cases, the diagnosis is established intraoperative because it's nearly impossible to be diagnosed by radiological imaging.