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Case Reports in Surgery
Volume 2014 (2014), Article ID 184873, 3 pages
http://dx.doi.org/10.1155/2014/184873
Case Report

A Rare Presentation of Maydl’s Hernia

Department of Surgery, Faculty of Health Sciences, University of Buea, P.O. Box 126, Limbe, Southwest Region, Cameroon

Received 2 August 2014; Accepted 3 November 2014; Published 18 November 2014

Academic Editor: Muthukumaran Rangarajan

Copyright © 2014 Elroy Patrick Weledji et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of an unsual type of obstructed indirect inguinal hernia with impending strangulation. The operative findings revealed a sliding Maydl’s hernia with an ischemic inner ileal loop and an adherent inflamed appendix. This case highlights the importance of intraoperative examination of the intra-abdominal bowel loops proximal to the hernia sac of an incarcerated, obstructed, or strangulated hernia.