English

Abstract

A nine months old male baby presented with swelling in left groin. It turns out to be a rare presentation of where the appendix was found within the left hernial sac during surgery for an obstructed inguinal hernia. Herniotomy and appendectomy was carried out since the appendix was inflamed. INTRODUCTION: A vermiform appendix in an inguinal hernia sac, with or without appendicitis, is called Hernia. Claudius Amyand (1660-1740), a French surgeon working at St.George's and Westminster hospitals in London, performed the first successful appendicectomy in 1735, on an 11year-old boy who presented with an inflamed, perforated appendix in his inguinal sac. Since then, the presence of the appendix within an inguinal hernia has been referred to as Amyand's hernia, and still remains a rare occurrence. The case was published in the Philosophical Transactions of the Royal Society of London. We present such a case of hernia discovered at surgery for a left-sided obstructed inguinal hernia in a nine month old baby. Whether or not an appendectomy should be performed at the same times as the hernia repair is debatable. The aim of this study is to present the experience of our Institute surgical department with hernia along with a review of the literature on this subject.