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Left sided Amyand hernia - A case report.

Jayateertha Joshi¹, Esha Mallik¹, Talha Ahmed¹

¹Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

International Journal of Surgery Case Reports

|July 7, 2022

Summary

This summary is machine-generated.

Amyand hernia, where the appendix is in the inguinal sac, typically occurs on the right. This case highlights an extremely rare left-sided Amyand hernia in a child, requiring high clinical suspicion for diagnosis.

Keywords:

Amyand hernia Appendix Case report Inguinal hernia

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Area of Science:

Pediatric Surgery
Gastrointestinal Surgery

Background:

Amyand hernia is defined as the presence of the vermiform appendix within the inguinal hernial sac.
While typically occurring on the right due to anatomical positioning, left-sided presentations are exceptionally rare.

Purpose of the Study:

To report a rare case of left-sided Amyand hernia in a pediatric patient.
To emphasize the importance of clinical suspicion in diagnosing rare anatomical presentations of inguinal hernias.

Main Methods:

A case presentation of a 1-year 3-month-old male child with an irreducible left inguinal hernia.
Surgical exploration (emergency herniotomy) revealed the appendix, terminal ileum, and cecum as contents of the left hernial sac.

Main Results:

The patient presented with an irreducible left inguinal hernia.
Intraoperative findings confirmed the appendix as part of the left inguinal hernia contents.

Conclusions:

Left-sided Amyand hernia is an extremely rare condition.
Congenital anomalies such as intestinal malrotation, situs inversus, and mobile cecum may be associated with left-sided Amyand hernia.
A high index of clinical suspicion is crucial for the effective management of such rare cases.