Neonatal acute scrotum: do not forget Amyand hernia

A 15-day-old full-term newborn was admitted to the emergency department for right scrotal swelling, irritability and poor feeding that started 12 hours earlier, without fever or vomiting. Parents reported that his last defecation occurred 3 days before admission. Physical examination was remarkable for a swollen, erythematous and tender right hemiscrotum (figure 1). Figure 1 Erythema and swelling of the right hemiscrotum. Scrotal ultrasonography showed an inguinal hernia with an air-filled tubular structure that seemed somehow different from a typical intestinal loop; the plain radiography confirmed this finding. Emergency surgical exploration of the right groin …