Publication: Perforated Caecum in a Left-sided Amyand’s Hernia: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
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.
Description
Saurav Jha
Department of Emergency medicine, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal
Arjun Kandel
Nepal Medicity Hospital, Nakhkhu Ukalo Road, Kathmandu, Nepal
Barsha Baral
Metrocity Hospital, Srijanachowk, Pokhara, Nepal
Pradeep Ghimire
Department of Surgery, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal
Keywords
Appendix, Case reports, Hernia