Perforation of the vermiform appendix in a septic neonate with an Amyand's hernia resulted in the formation of a scrotal enterocutaneous fistula. In conclusion from this exceptional complication, active parental awareness for any neonatal scrotal swelling is required, and an early operative policy for the neonatal inguinal hernia is significant.

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The commonest type of hernia in children is the inguinal one. Either scheduled or as an emergency, hernia surgery is performed daily in every pediatric surgical institution worldwide, regardless of age or gender. In this chapter we deal with the embryology of the inguinal canal and its pathophysiological association with hernia formation. We also discuss the most frequent clinical and diagnostic issues of the pediatric hernia. The management and treatment of the strangulated hernia, the differential diagnosis, and the particular uncommon hernia types are presented as well. We finally present the evolution of hernia surgery from the classical operative methods to the modern laparoscopic and robotic techniques.

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. We report a case series of three neonates diagnosed with gastric perforations in the first week of life and successfully managed by urgent surgical intervention. All three patients had associated gastrointestinal anomalies contributing to the gastric perforation. Conclusion: Neonatal gastric perforation is extremely rare and is associated with high mortality. Early diagnosis and prompt surgical intervention are essential to improve the outcomes.