Infantile Amyand's hernia with preoperatively diagnosed by ultrasound: Case report

Abstract

The presence of a vermiform appendix in an inguinal hernia sac is termed Amyand's hernia and it is a rare entity. It may be presented as an inguinal or inguino-scrotal swelling and is often misdiagnosed as an incarcerated or strangulated hernia. We reported here the case of an 8-months-old boy with a right-sided sliding appendiceal inguinal hernia that was diagnosed preoperatively by ultrasonography. Amyand's hernia is usually diagnosed intraoperatively. There are a few cases in the literature, in which such a case was correctly diagnosed preoperatively by only ultrasonography. The correct diagnosis was made via preoperative inguinal sonography and was confirmed via computed to mography in the previous literature. Using ultrasonography to diagnose Amyand's hernia preoperatively could be sufficient and might protect children from potential complication and side-effects of radiation. Copyright © 2010 by Türkiye Klinikleri.