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This is a case report about a 35 year old man admitted with complains of obstructed left sided inguinal hernia. On exploration of the left inguinal canal to our surprise a normal appendix was found in addition to a gangrenous omentum. Resection of the gangrenous omentum was done. Appendectomy was done. This case is reported for its rare occurance as only three such cases of left sided amyand's hernia has been reported so far in literature [4][5][6].Keywords Amyand's hernia . Obstucted inguinal hernia . appendix Case HistoryA 35 year old male patient was admitted with complaints of obstructed left inguinal hernia to the emergency department. The patient was in severe pain and an emergency laparotomy was planned. Basic blood investigations were taken. X-ray of the abdomen showed dilated small intestinal bowel loops. The patient was prepared and shifted to the operation theatre (Fig. 1).Using an inguinoscrotal incision the left inguinal canal was opened. An indirect inguinal hernia with omentum and the small bowel as contents were noted. The fundus of the sac was opened and about 30 ml of dark fliud was suctioned out careful not to soil the wound. The omentum was found to be gangrenous. The gangrenous omentum was excised. The small intestine was found to be normal with normal peristalsis and so the same was preserved. To our surprise we also noted an appendix as one of the contents of the sac. The appendix was about 10 cm in length. The appendix was normal and not gangrenous. An appendicectomy was done to avoid any future diagnostic dilemma. Since this was a case of obstructed inguinal hernia only a herniorraphy was done. The patient recovered well. An ultrasound of the abdomen was done and it showed non-rotation of the intestines, one of the causes of a left sided appendix. DisscusionAmyand is credited with the first appendicectomy in 1736, when he operated on a boy with an enterocutaneous fistula within an inguinal hernia [1]. On exploration of the hernia sac, he discovered the appendix, which had been perforated by a pin resulting in a fecal fistula. As a result of his original description, an inguinal hernia containing the appendix carries Amyand's eponym to this day [2].There are four conditions that can result in a left-sided appendix. In order of frequency, they are: (1) situs inversus viscerum, (2) nonrotation of the intestines, (3) "wandering" cecum with a long mesentery, and (4) an excessively long appendix crossing the midline. Nisolle et al.[3] described a case of left-sided appendicitis in which the extremity of a dilated right appendix was located in the left lower quadrant (LLQ) along the lateral pelvic wall.The occurrence of herniated appendices is mostly reported in a right inguinal hernial sac, probably as a

Diabetic retinopathy is one of the common complications of diabetes. Unfortunately, in many cases the patient is not aware of any symptoms until it is too late for effective treatment. Through analysis of evoked potential response of the retina, the optical nerve, and the optical brain center, a way will be paved for early diagnosis of diabetic retinopathy and prognosis during the treatment process. In this paper, we present an artificial-neural-network-based method to classify diabetic retinopathy subjects according to changes in visual evoked potential spectral components and an anatomically realistic computer model of the human eye under normal and retinopathy conditions in a virtual environment using 3D Max Studio and Windows Movie Maker.