Amyand's hernia in a 2-month-old infant: The first case report from Sudan.

introduction and importanceAmyand's hernia (AH) is an extremely rare type of inguinal hernia where the vermiform appendix is present within the inguinal hernia sac. This report documents the first known instance of AH in Sudan, highlighting its unprecedented occurrence in this region. CASE PRESENTATION: A 2-month-old infant presented to the ER with an obstructed right-sided inguinal hernia for 6 h. During surgical repair, an inflamed appendix was found within the hernial sac. The appendix was ligated, excised, herniotomy was performed to repair the hernia, and the appendix was sent for histopathological examination. CLINICAL DISCUSSION: This case underscores the importance of recognizing rare presentations of common conditions in different geographical and demographic contexts. The co-occurrence of acute appendicitis and AH in infants poses a diagnostic challenge, often only detected incidentally during surgical exploration.

conclusionBy presenting this unique case, we aim to raise awareness about the potential for such rare hernias in pediatric populations. Early recognition and proper management are crucial for ensuring optimal patient outcomes and preventing complications associated with delayed diagnosis or treatment.