International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Report
 
Appendicular abscess in left inguinal hernia mimicking strangulation
Manash Ranjan Sahoo1, Basavaraja C.2, Anil Kumar A.T.2, Sunil Jaiswal2
1MS, Associate Professor, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2Post Graduate, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.

doi:10.5348/ijcri-2014115-CR-10426

Address correspondence to:
Dr. Manash Ranjan Sahoo
Orissa Nursing Home, Medical road
Ranihat, Cuttack
Odisha
India. Postal Code: 753007
Phone: +919937025779
Fax: 0671-2414034
Email: manash67@gmail.com

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How to cite this article
Sahoo MR, Basavaraja C, Kumar AT, Jaiswal S. Appendicular abscess in left inguinal hernia mimicking strangulation. Int J Case Rep Images 2014;5(9):646–649.


Abstract
Introduction: The incidence of Amyand's hernia varies from 0.5–1%, whereas only 0.1% of all cases have appendicitis present in an inguinal hernia.
Case Report: A 40-year-old male presented to emergency department with incarcerated left inguinal hernia and pain over the hernia since two days. Abdominal examination was normal except for tenderness and increased temperature over the left inguinal hernia. Through an inguinoscrotal incision opening of sac revealed pus and flakes with perforated appendix. Lower midline laparotomy incision was given and found the tip of perforated appendix to lie at the left deep inguinal ring. Appendicectomy with pelvic toileting was done. Bassini repair was done in the inguinal region.
Conclusion: To conclude left sided Amyand's hernia is very rare. High index of suspicion is required for diagnosis and this should be kept as a differential diagnosis for such a varied presentation.

Keywords: Amyand's hernia, Appendicectomy, Incarcerated left inguinal hernia, Bassini technique


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Author Contributions
Manash Ranjan Sahoo – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Basavaraja C. – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Anil Kumar T. – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Sunil Jaiswal – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Manash Ranjan Sahoo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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