Infantile inguinal hernia complicated with ileoileal intussusception

Abstract

Indirect inguinal hernias occur due to patent processus vaginalis. One-third of cases present before 6 months of age. Despite being one of the most performed surgeries, inguinal hernia repair can be complicated due to unusual contents in the hernia sac. One commonly encountered unusual structure is the vermiform appendix. Less commonly, epiploic appendages, ovaries, uterus, urinary bladder, and fallopian tubes have also been encountered in the hernia sac. Intussusception as a content of the hernial sac is rare. We present a case of an indirect inguinal hernia complicated by ileoileal intussusception causing acute intestinal obstruction in a 2-month-old infant. To our knowledge, no such case has been described in the literature in the pediatric population.