Case Report: Unexpected contents of groin hernia sac in a 4-week-old infant.

Abstract

Hernia is the protrusion of a viscous in part of whole through the wall of its containing cavity and the repair of an inguinal hernia in children is a very common operation in surgical practice.
In majority of cases, bowel or omentum is the content of hernia sac but in some cases unusual contents can be found intraoperatively like ovary, fallopian tube, testis, urinary bladder, colonic diverticula, Meckel’s diverticulum or very rarely vermiform appendix.
Surgeons may encounter challenges when faced with an unexpected intraoperative finding in the form of uncommon contents of the hernia sac.
Here, we report a case of combination of a testis and an inflamed vermiform appendix (Amyand’s Hernia) in a 4-week-old male infant discovered in the hernia sac incidentally during surgery for right sided inguinal hernia in the department of pediatric surgery in the University of Benin Teaching Hospital, Benin City, Nigeria in which we did appendectomy, herniotomy with high ligation of the hernia sac and Orchidopexy.
This case is reported to draw clinicians’ attention to this unexpected groin hernia sac contents during the repair of inguinal hernia, which were a rare combination of testis and an inflamed vermiform appendix.