Amyand's hernia; a case report

An appendix in an inguinal hernial sac is called as Amyand's Hernia. The appendix may or may not be inflamed. It is a rare occurrence in surgical practice. A 23 years old male presented with the clinical diagnosis of strangulated right inguinal hernia. On surgical exploration acutely inflamed appendix was found in the hernial sac. Appendicectomy and hernia repair was carried out. Inguinal hernia is one of the most common general surgical procedures. Unexpected hernial sac contents like an inflamed appendix may be encountered and dealt accordingly

Gallstone ileus: a complication least expected

Gallstone ileus is an uncommon cause of mechanical small bowel obstruction. A high index of suspicion is needed so as to avoid the morbidity and mortality related to this condition in geriatric population in which it occurs more frequently. A 60-year old female presented with signs and symptoms of acute small bowel obstruction. Surgery a large stone was found impacted in the terminal ileum with a fistulous tract between the gallbladder and duodenum