Left sided Amyand hernia - A case report

Jayateertha Joshi; Esha Mallik; Talha Ahmed; Rahul Bhat; George M Varghese

doi:10.1016/j.ijscr.2022.107374

Left sided Amyand hernia - A case report

Int J Surg Case Rep. 2022 Jul:96:107374. doi: 10.1016/j.ijscr.2022.107374. Epub 2022 Jul 1.

Authors

Jayateertha Joshi¹, Esha Mallik², Talha Ahmed¹, Rahul Bhat¹, George M Varghese³

Affiliations

¹ Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
² Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India. Electronic address: esha.mallik@gmail.com.
³ Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.

Abstract

Introduction: Amyand hernia is a clinical condition wherein content of the inguinal hernial sac is formed by the vermiform appendix.

Case presentation: 1 year 3-month-old male child presented to our OPD with an irreducible left inguinal hernia for which he was taken up for an emergency herniotomy. The terminal ileum, caecum and appendix were found to be the contents of the hernial sac.

Discussion: As the appendix is anatomically located on the right, Amyand hernia more commonly occurs on the right, however its occurrence on the left, is a rare event and is usually associated with congenital anomalies like Intestinal malrotation, Situs inversus and mobile caecum.

Conclusion: Amyand hernia presenting on the left is extremely rare and high index of clinical suspicion is required to manage such patients. We report one such rare case of a Left sided Amyand hernia in a young child.

Keywords: Amyand hernia; Appendix; Case report; Inguinal hernia.