Abstract

Ceylon Medical Journal (CMJ) is a peer-reviewed, open access journal published quarterly by the Sri Lanka Medical Association in the last week of March, June, September and December each year. The mission of the CMJ is to promote the science and art of medicine and betterment of public health. The Journal publishes original papers and commentaries which have relevance to medicine and allied sciences. The CMJ is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.

Highlights

  • A 67-year old man had a large irreducible right inguino-scrotal hernia which had been enlarging for 8 years

  • After performing an a appendicectomy, the bowel was returned to the peritoneal cavity

  • Authors have referred to Amyand’s hernia as the occurrence of an inflamed appendix within an inguinal hernia (3), as a perforated appendix within an inguinal hernia (4), or when a non-inflamed appendix is present within an irreducible inguinal hernia

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Summary

Introduction

A 67-year old man had a large irreducible right inguino-scrotal hernia which had been enlarging for 8 years. During the last two weeks he had felt a ‘dragging’ pain in the right groin. The scrotum was neither tender nor tense. Surgery revealed an indirect inguinal hernial sac containing the caecum, ileum and appendix. The appendix was inflamed but not perforated.

Results
Conclusion
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