Perforated Caecum in a Left-sided Amyand's Hernia: A Case Report
Saurav Jha1, Arjun Kandel2, Barsha Baral3
1Department of Emergency medicine, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal.
Abstract:
Amyand's hernia is a rare type of inguinal hernia with an appendix inside an inguinal hernia sac. Most cases are diagnosed intraoperatively during hernia repair. A 66-year-old male was received at the Emergency Department with complaints of acute onset abdominal pain, vomiting, and groin swelling. The patient was diagnosed with obstructed left inguinoscrotal hernia with suspected bowel perforation. Following the emergency laparotomy, the intraoperative picture depicted a leftsided Amyand's hernia with a perforated caecum in the hernia sac. Mobile caecum, malrotation, situs inversus, and excessively long appendix denoted it to be the prime factors for the left-sided Amyand's hernia. A diverse range of pathological features and presentations might complicate the diagnosis and management of Amyand's hernia and all in all treatment has to be individualized according to the intraoperative finding.
Keywords:
appendix; case reports; hernia.
Insights
Amyand's hernia, a rare condition involving the appendix within an inguinal hernia, was diagnosed intraoperatively in a 66-year-old male. This case highlights the importance of individualized treatment based on surgical findings.
Area of Science:
- Surgery
- Gastroenterology
- Medical Case Reports
Background:
- Amyand's hernia is a rare inguinal hernia variant characterized by the appendix within the hernia sac.
- Diagnosis is often incidental during hernia repair surgery.
- This condition can present with diverse clinical features, complicating diagnosis and management.
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