Amyand's Hernia in Children: Two Rare Cases and Review of the Literature

Amyand's hernia is rare in children. Acute appendicitis associated with this hernia is even rarer, occurring in only 0.08% of cases [3]. Clinical symptoms may vary and often resemble those of an incarcerated inguinal hernia, which may lead to a misdiagnosis prior to surgery. We report 2 cases of Amyand's claudius hernia operated on at the Souss Massa Agadir university hospital, Morocco. The first case was a 3-year-old boy scheduled for surgical cure of a simple right inguino-scrotal hernia, where a non-inflammatory appendix was revealed within the hernia sac. The second case was a 22-day-old newborn admitted to the emergency department with a strangulated right inguino-scrotal hernia. The diagnosis of Amyand's hernia was made only after surgical exploration, during which the pathological appendix was discovered in the hernia sac. This underlines the importance of considering this rare pathology when evaluating inguinal hernias, particularly in children.