History: abdominal pain
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We can see there are two inguinal hernias here. The larger one is on the left, containing some small loops without any evidence of obstruction.
More interestingly, on the right we have a primarily fat filled inguinal hernia with a small air filled tubular structure which originates from the base of the cecum.
Answer: Amayand Hernia
There is debate over where an Amayand hernis is just any inguinal hernia that contains the appendix or if it must be an inflammed appendix (ie appendicitis), but I'll be lax with this one.
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