Case Report “Laparoscopic Management of Strangulated Left-sided Amyand’s Hernia in a Child: A Case Report”

Abstract

Background/Aims Amyand’s hernia is a rare condition where the appendix is found within the sac of an inguinal hernia, and it can either be inflamed/perforated or non-inflamed in an irreducible hernia. Left-sided AH is less common than right-sided, and its management is challenging, especially in the pediatric age group.Case Presentation We present a case of an 18-month-old male child with a history of left groin hernia since birth, who presented with a sudden increase in the size of the hernia, associated with vomiting and tenderness. A laparoscopic exploration revealed entrapped loops of the intestine in the left internal ring, which was successfully reduced without any injury or complication. The contents of the hernia included the terminal ileum, the ileocecal junction, the caecum, and the appendix, which were all viable. The internal ring was repaired using prolene sutures, and the peritoneum was closed using vicryl sutures. The child had an uneventful postoperative course and was discharged on the same day of surgery.Conclusions This case highlights the importance of prompt diagnosis and appropriate surgical management in pediatric patients with AH to prevent complications and ensure optimal outcomes. Also, laparoscopic reduction and repair of an incarcerated left-sided AH is a safe and effective procedure in pediatric patients. Laparoscopic management offers several advantages over open techniques and is a suitable alternative.