A left-sided incarcerated Amyand hernia in a 4-month-old male infant: a case report.

Abstract

<h4>Background</h4>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.<h4>Case presentation</h4>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.<h4>Conclusion</h4>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.