Amyand hernia with perforated appendix simulating as testicular torsion in a neonate: A case report


  • Obay Edan College of Medicine, University of Mosul, Mosul-Iraq



Amyand hernia, Acute scrotum, Neonate, Perforated appendix


Background: Amyand hernia is defined as the presence of the vermiform appendix within the hernial sac. A perforated appendix is an uncommon complication of Amyand hernia. Rarely it may simulate a testicular torsion.

Case Presentation: A twenty-five-day-old male infant presented with right-sided scrotal swelling, exhibiting symptoms of crying, irritability, and poor feeding over a two-day duration. The swelling was non-reducible, confined to the scrotum, and the spermatic cord showed thickening with erythematous scrotal skin. Following preparation, an inguinal incision was made, and an appendectomy and herniotomy were performed.

Conclusion: Amyand hernia, a rare type of inguinal hernia, poses challenges in preoperative diagnosis. The occurrence of a perforated appendix is especially rare in neonates with Amyand hernia. Surgical management entails appendectomy through an inguinal incision coupled with meticulous hernia repair.


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Author Biography

Obay Edan, College of Medicine, University of Mosul, Mosul-Iraq

Assistant Professor of Pediatric Surgery, 


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How to Cite

Edan O. Amyand hernia with perforated appendix simulating as testicular torsion in a neonate: A case report. J Neonatal Surg [Internet]. 2023Dec.31 [cited 2024Jul.21];13:9. Available from: