A left-sided incarcerated Amyand hernia in a 4-month-old male infant: a case report
Roya Golmoradi Pilehroud1, Alireza Ziyabakhsh2, Keyvan Amini3
1Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Background:
Amyand hernias are inguinal hernias that involve the vermiform appendix and are very rare. Left-sided Amyand hernias are even rarer, and their diagnosis is often made intraoperatively.
Case Presentation:
In this article, we report a case of left-sided Amyand hernia in a 4-month-old Persian male infant. He presented with left groin swelling, which extended to his left scrotum. He had suffered from a reducible left-sided inguinal hernia since he was 3 months old, which was no longer reducible in this episode. The diagnosis of left-sided Amyand hernia was made intraoperatively, and appendectomy, cecum reduction, and herniorrhaphy were performed.
Conclusion:
The best approach for treating Amyand hernias without appendicitis is controversial, and each approach has advantages and disadvantages; however, if there is acute appendicitis, appendectomy is recommended.
Insights
Left-sided Amyand hernias, rare inguinal hernias involving the appendix, require intraoperative diagnosis. Surgical management, including appendectomy, is crucial for successful treatment of this uncommon condition.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Amyand hernias, characterized by the vermiform appendix within an inguinal hernia, are exceptionally rare.
- Left-sided Amyand hernias are particularly uncommon, frequently necessitating intraoperative diagnosis.
Purpose of the Study:
- To report a rare case of left-sided Amyand hernia in an infant.
- To highlight diagnostic and surgical considerations for this condition.
Main Methods:
- Case presentation of a 4-month-old infant with a non-reducible left inguinal hernia.
- Intraoperative diagnosis of left-sided Amyand hernia.
- Surgical intervention included appendectomy, cecum reduction, and herniorrhaphy.
Main Results:
- Successful surgical management of a left-sided Amyand hernia in an infant.
- Demonstrated the utility of intraoperative diagnosis in rare hernia cases.
Conclusions:
- Treatment for Amyand hernias without appendicitis remains debated.
- Appendectomy is the recommended approach for Amyand hernias with acute appendicitis.
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