Mechanical Bowel Obstruction Caused by Incarcerated Left Amyand’s Hernia with Acute Appendicitis in Children
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Amyand’s hernia is rare condition defined as the inclusion of the appendix
in an ingunal hernia sac, It is an uncommon and rare condition estimated
to be found in approximately 1 % of hernia. However, in just 0.08 %, the
condition is complicated by an acute appendicitis. It may present as a
tender inguinal or inguinoscrotal swelling. In patients presenting amyand’s
hernia with mechanical bowel obstruction, signs of acute appendicitis may
not be initially recognized. This was the case while our patient was in
surgery, as signs suggestive of acute appendicitis were discovered and the
patient received appendectomy and herniotomy. Presently, We report a case
of Amyand’s hernia in a 9-month-old male, who presented as a left-sided
congenital hernia with distended abdominal and pain in the left groin. He
underwent appendectomy and herniotomy, which revealed that the hernia
sac containing elongated inflamed appendix appeared with some adhesions
to sac, lying in the inguinal canal.