Abstract
Pediatric incarcerated inguinal hernia is an acute abdominal condition that requires surgery. Here, we report on 2 rare cases of Amyand’s hernia in which the appendix was in the hernia sac. Case 1: A 1-month-25-days-old boy was brought to the Pediatrics Department of our hospital because of poor suckling and repeated vomiting. He was referred to our department 4 days later because his abdominal X-ray showed niveau. Physical examination revealed a swelling extending from the right inguinal region to the scrotum. We performed an emergency laparoscopy to reduce the hernia and diagnose the causes of bowel obstruction. We found the appendix along with the ileocecum in the right internal inguinal ring. The hernia was reduced by pulling with bowel forceps combined with manual reduction. The ileocecum region was normal in color and a portion of the appendix showed necrosis; thus, we performed aseptic appendectomy. Case 2: An 11-month-old boy, with a left inguinal hernia and who was awaiting elective surgery, was presented to our hospital after developing croup. Because his left inguinal hernia was irreducible, an emergency surgery was performed by the inguinal approach and the ileocecum and normal appendix were found in the hernia sac.
