An Infantile Left Amyand Hernia: Case Report and Review of Literature

Abstract

The incidence of incarceration in pediatric inguinal hernia is between 12 to 17% especially during infancy. It may contain small gut, omentum, cecum, appendix, or ovary and uterine tube, and appendix could be incarcerated on the right side (82%) mostly. Hypermobility of cecum which is a triggering factor of Left-sided Amyand’s hernia and an explanation of De Garengeot hernia occurs in 10-20% of population. Herein, a 9-month-infant with a left-sided incarcerated inguinal hernia containing both cecum and appendix was successfully operated through a groin incision. A hypermobile cecum is accused of the left-sided incarcerated Amyand’s hernia. Preservation or removal of the appendix is controversial which depends on the infection or trauma of hernia contents but the definitive repair of hernia is mandatory. Postoperative imaging should be done for exclusion of the possible underlying anomalies as hypermobile cecum, abnormal intestinal rotation, or situs inversus.