Abstract
An 8-month-old boy with a left-sided incarcerated inguinal hernia involving the appendix, cecum, and terminal ileum was successfully managed via an inguinal approach during an emergency operation. A mobile cecum seemed to have contributed to the left-sided incarceration. Only 13 similar cases with the left-sided Amyand’s hernia have been reported in the literature.
Highlights
It has been reported in various series that the incidence of incarceration of an inguinal hernia in children ranges from 12 to 17 % and is highest during the first year of life, decreasing thereafter [1]
The child had a history of a left inguinal hernia when he was 4 months old, which had been observed without surgical treatment
After the contents of the hernia were reduced into the abdominal cavity, the hernia sac was dissected free from the spermatic cord, and a left herniorrhaphy was completed with high ligation of the sac (Potts procedure)
Summary
It has been reported in various series that the incidence of incarceration of an inguinal hernia in children ranges from 12 to 17 % and is highest during the first year of life, decreasing thereafter [1]. The child had a history of a left inguinal hernia when he was 4 months old, which had been observed without surgical treatment His vital signs were within the normal limits at this presentation. A contrast study of the colon showed that his cecum was more centrally located than usual in the right lower quadrant, which was suggestive of a mobile cecum rather than of intestinal malrotation, judging from the running of the entire colon (Fig. 2). He was discharged in stable condition 2 days after the surgery. A recurrence of an inguinal hernia or testicular atrophy was not identified at his last follow-up visit 1 year postoperatively
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