Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 11 2 2024 11 19 241 243 Alireza Babajani Department of Anesthesia Technology, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran. Pegah Arman Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran. Ahmad Moradi Department of Anesthesiology, School of Medicine, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. Parastoo Rahmati Torkhashvand Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran. Yasin Ghodarzi Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran. 2024 09 02 2024 09 17 A 26-month-old male patient presented with swelling in the right hemi-scrotum, diagnosed as a hydrocele and a 44 x 14 mm hernia displacing the right testicle. He had been hospitalized 12 days earlier due to prolonged fever, leading to concerns about Kawasaki syndrome. Prior to surgery, a cardiovascular consultation was performed, revealing no complications. The patient received treatment with clindamycin, ASA, prednisolone, and intravenous immunoglobulin. Admitted to Beheshti Hospital for surgery, his vital signs were stable. Anesthesia considerations were complicated by Kawasaki syndrome, but after consultation, general anesthesia was administered using a Laryngeal Mask Airway. The surgical procedure lasted an hour and fifteen minutes, during which basic monitoring was conducted. Post-surgery, the patient was transferred to recovery and later admitted to the pediatric department for two days, ultimately being discharged without complications. https://aacc.tums.ac.ir/index.php/aacc/article/view/1079