Amyand's Hernia (AH) is defined as the protuberance of the vermiform appendix, inflamed, infected, perforated or normal, within the inguinal hernia sac. The prevalence of the AH in the world population is around 0.4-0.6%. While among children, it is about three times more prevalent, owing to patency of the vaginal peritoneum conduit and is more common in men. This Article report a case of AH in an eleven-month-old male who was diagnosed intraoperatively during an elective surgical treatment of bilateral inguinoscrotal herniorrhaphy (as evidence suggests to be what occurs in most cases of AH), when an appendectomy was performed with no unforeseen circumstances. It is essential discussing the diagnosis and treatment of Amyand's hernia as a way of making surgeons aware of this differential diagnosis.