PMC9798192_01
Computed tomography images.. Contrast enhanced axial (A) and delayed coronal (B) abdominopelvic computed tomography images show a herniated appendix and omentum (arrow) in right inguinal hernia, small bowel and omentum (arrowhead) in left inguinal hernia via the lateral side of the inferior epigastric artery.
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Outpatient abdominopelvic computed tomography (CT) revealed a right IH with appendiceal herniation, and left recurrent IH with omental fat (Fig. 1.
Intraoperative findings of left recurrent inguinal hernia.. The hernial sac was in the spermatic cord and there was previous migrated mesh (arrow) (A). The hernial sac was opened, revealing no contents (B). The hernial sac was ligated (C), and a prolene hernia system mesh was inserted (D).
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The abdominal wall was closed layer by layer and the skin was closed with subcuticular sutures (Fig. 2.
Intraoperative findings of right Amyand's hernia.. The hernial sac was in the spermatic cord (A). The hernial sac was opened, revealing the appendix (arrow) and omentum (arrowhead) (B). The hernial sac was ligated (C), and a prolene hernia system mesh was inserted (D).
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The abdominal wall was closed in the same manner as that for the contralateral IH (Fig. 3.