Bilateral Obstructed Inguinal Hernia with Left Amyand’S Hernia: A Rare Case Report
Emad Alvi *
Department of Surgery, JNMC, Aligarh Muslim University, India.
Isra Khan
Department of Radiodiagnosis, JNMC, Aligarh, India.
S. H. Faridi
Department of Surgery, JNMC, Aligarh Muslim University, India.
Imad Ali
Department of Surgery, JNMC, Aligarh Muslim University, India.
Amjad Rizvi
Department of Surgery, JNMC, Aligarh Muslim University, India.
*Author to whom correspondence should be addressed.
Abstract
Obstruction and strangulation are the most vicious complications of inguinal hernia that require prompt intervention in the form of surgical exploration. Presence of appendix in the inguinal hernia sac is a rare condition seen in less than 1% of all inguinal hernia cases. Usually this appendix is on right side, but its presence on the left side is extremely rare.
Case Report: A 70 year male patient with scrotal swelling and inability to pass stool and flatus presented to JNMCH emergency. Upon examination and evaluation a diagnosis of intestinal obstruction secondary of obstructed inguinal hernia was made. Further, upon exploration, a healthy appendix and caecum was seen in left sac whereas right sac contained small bowel, which was unhealthy.
Keywords: Strangulation, emergency surgery, intestinal obstruction, bowel gangrene, malrotation