INTRODUCTION: Amyand's hernia is defined as the presence of the cecal appendix inside the hernia sac. It is usually located on the right side, but left-sided cases due to intestinal malrotation have also been reported. CASE PRESENTATION: 3-month-old male infant diagnosed with omphalocele at the 12th week of gestation undergoing surgery 48 hours post-birth. Bilateral inguinal hernia was diagnosed during follow-up, so scheduled bilateral herniotomy was performed. During surgery, the cecal appendix was identified inside the left herniary sac, so prophylactic appendectomy was carried out. CONCLUSIONS: The incidence of Amyand's hernia ranges from 0.4 to 1% - three times higher in pediatric patients. Left-sided hernias are often associated with intestinal rotation disorders. Treatment of right Amyand's hernia is described in Losanoff-Basson's classification. In left-sided hernias, prophylactic appendectomy is recommended to avoid diagnostic confusion in case of appendicitis.
INTRODUCTION: Amyand's hernia is defined as the presence of the cecal appendix inside the hernia sac. It is usually located on the right side, but left-sided cases due to intestinal malrotation have also been reported. CASE PRESENTATION: 3-month-old male infant diagnosed with omphalocele at the 12th week of gestation undergoing surgery 48 hours post-birth. Bilateral inguinal hernia was diagnosed during follow-up, so scheduled bilateral herniotomy was performed. During surgery, the cecal appendix was identified inside the left herniary sac, so prophylactic appendectomy was carried out. CONCLUSIONS: The incidence of Amyand's hernia ranges from 0.4 to 1% - three times higher in pediatric patients. Left-sided hernias are often associated with intestinal rotation disorders. Treatment of right Amyand's hernia is described in Losanoff-Basson's classification. In left-sided hernias, prophylactic appendectomy is recommended to avoid diagnostic confusion in case of appendicitis.