HERNIATION of normally located cecum into the right inguinal canal is a fairly frequent surgical finding. Migration of this structure to the left side and its herniation into the left inguinal canal, however, is extremely rare. Apparently, the only such case reported in the literature is cited by Koontz in his recent book Hernia.1 The purpose of this communication is to report a case of strangulated cecal herniation through the left inguinal canal which was treated successfully by emergency hemicolectomy on the right.
Report of Case
A 74-year-old white man was admitted to the Veterans Administration Hospital, Clarksburg, WVa, complaining of a constant pain of five days' duration in the left lower abdomen. The patient was nauseated but had a regular bowel movement the day prior to admission. He had had bilateral reducible inguinal hernias for many years. On physical examination he appeared to be in good general condition;