Amyand Hernia — An Uncommon Coexistence of Two Common Disease Entities

Amyand hernia is a very rare disorder characterized by presence of appendix (normal, inflamed or perforated) in the hernia sac. Though it is usually detected intra-operatively, ultrasonography or computerized tomographic scan done preoperatively may provide a clue. The presentation is determined by the condition of the appendix, and can mimic an incarcerated hernia. Though there are no standardized treatment protocols, management is mostly dictated by the condition of the appendix. We present the case of a 62-year-old male patient who presented with right sided obstructed inguinal hernia, which intra-operatively revealed an Amyand Hernia.

Double Compound Intussusception桝 Clinico-radiological Correlation

Intussusception is the invagination of a proximal segment of intestine into a distal segment leading to intestinal obstruction. The rarest form of intussusception is the Compound Intussusception. In adults, the typical signs and symptoms may be present in only a small subset of patients. Hence, the diagnosis may be missed clinically. Computerised Tomographic (CT) Scan can prove to be a useful adjunct for the diagnosis. In patients with Compound Intussusception, the Triple Circle Sign may be seen on CT scan, which gives a useful clue to the diagnosis. This clinico-radiological correlation can help in early diagnosis and intervention and lead to decreased morbidity in patients

Spontaneous cholecystocutaneous fistula in a case of chronic colculous cholecystitis--a case report.

Chronic calculous cholecystitis is quite a common disease entity today. However, advances in diagnostic imaging and use of broad-spectrum antibiotics have facilitated its early detection and treatment. Hence complications of untreated calculous cholecystitis have shown a steady decline. Spontaneous cholecystocutaneous fistula is one such rare complication. A 45-year-old female presented with acute onset of pain and swelling in the right hypochondrium. She had leucocytosis. The swelling ruptured spontaneously and 200 ml frank yellow pus along with multiple stones were expelled from the site. Completion drainage was done. A fistulogram confirmed the diagnosis of a cholecystocutaneous fistula. The patient underwent open cholecystectomy and excision of the fistulous tract.