Amyands hernia in pediatric case: Manageable but challenging to diagnose preoperatively

Abstract

Vermiform appendix within inguinal hernial sac is known as amyands hernia which is rare entity. Incidence varies from 0.5% to 1%. Vermiform appendix may or may not present as appendicitis however the trapped appendix may incarcerate and may present with perforation and strangulated.Here we report a case of 2 year old baby presented as right sided inguinoscrotal, reducible, painless swelling since birth. He was diagnosed as inguinal hernia. During herniotomy appendix was found as its content.This case report aims to document another case of amyands hernia impersonating as inguinal hernia as patients often are asymptomatic with low level of suspicion even on routine ultrasonography hence surgeon may encounter unexpected intraoperative findings.