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. 2013:2013:125095.
doi: 10.1155/2013/125095. Epub 2013 Apr 4.

Amyand's Hernia: A Serendipitous Diagnosis

S Mewa Kinoo  1 , M R Aboobakar, B Singh
Affiliations

Amyand's Hernia: A Serendipitous Diagnosis

S Mewa Kinoo et al. Case Rep Surg. 2013.

Abstract

An Amyand's hernia refers to the presence of an appendix within an inguinal hernia sac. This uncommon finding occurs in less than 1% of all right side inguinal hernias; to date, this finding has been reported in only 14 patients with left side inguinal hernias. The preoperative diagnosis of this condition is uncommon. We report the 15th case of a left side Amyand's hernia that was diagnosed preoperatively on a contrast enema study as well as the relatively more common right-sided Amyand's hernia diagnosed serendipitously at surgery.

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Figures

Figure 1
Figure 1
Lateral view of appendix (white arrow) within right inguinal hernia sac (indicated by black arrow).
Figure 2
Figure 2
Superior view of appendix (white arrow) within right inguinal hernia sac (indicated by black arrow).
Figure 3
Figure 3
Contrast enema outlining base of appendix (white arrow) and tip of appendix at left inguinal ring (dashed arrow). Note the extravasation of contrast in pelvis (indicated by #) and in the left inguinal canal (indicated by ∗).
Figure 4
Figure 4
Contrast within left inguinal sac noted on decubitus positioning of the patient (indicated by black arrow).
See this image and copyright information in PMC

References

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