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Arch Surg. 2009;144(11):1086.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Amyand Hernia

The computed tomography scan showed a loop of bowel and areas suspicious for extraluminal air and fluid. These findings suggested a strangulated hernia with perforation, and the patient was taken emergently to the operating room.

In the operating room, a lower midline incision was made. Extraperitoneal dissection was performed to separate the peritoneum from the anterior abdominal wall. The left inguinal hernia neck was identified at the internal inguinal ring. The peritoneum was subsequently opened to reduce both the small bowel and colon entering the hernia defect. The hernia contained loops of healthy-appearing small bowel and a markedly dilated cecum (approximately 10 cm in diameter). There were multiple areas of patchy necrosis with punctate leakage of intraluminal contents. The appendix was also identified and found to be normal. A right hemicolectomy with primary anastomosis was performed. The hernia sac was then ligated at the neck and the peritoneum was closed. . . . [Full Text of this Article]

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Arch Surg. 2009;144(11):1085.
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