Upadhyaya V D, Kumar V, Srivastava P, Gangopadhyaya A N
Department of Paediatric Surgery, IMS, BHU, Varanasi, India.
Kathmandu Univ Med J (KUMJ). 2009 Apr-Jun;7(26):143-4. doi: 10.3126/kumj.v7i2.2708.
The chance of vermiform appendix lying with in a hernial sac is 1% or less and is known as Amyand's hernia and it is very rare in infant and neonate. Till date, only twenty cases had been reported in English literature. We are reporting a rare case of Amyand's hernia where appendix was present in right inguinal sac of non-obstructed inguinal hernia in a seven month old male infant during operation. The appendectomy was done along with right inguinal herniotomy. In most of the reported cases, appendix was inflamed or perforated, expect in one case where appendix was not inflamed but patient presented with inguinal hernia. This case is reported because of the rarity of Amyand's hernia in infant, the appendix was not inflamed, hernia was not obstructed, and whether in such types of cases appendix should be preserved or not.
阑尾位于疝囊内的几率为1%或更低，这种情况被称为阿米亚德疝，在婴儿和新生儿中非常罕见。迄今为止，英文文献中仅报道过20例。我们报告了一例罕见的阿米亚德疝病例，在手术中发现一名7个月大男婴的右侧腹股沟疝囊内存在阑尾，该腹股沟疝无梗阻。手术中进行了阑尾切除术及右侧腹股沟疝修补术。在大多数已报道的病例中，阑尾已发炎或穿孔，只有一例阑尾未发炎，但患者患有腹股沟疝。报告该病例是因为阿米亚德疝在婴儿中罕见，此例阑尾未发炎，疝无梗阻，以及探讨在这类病例中阑尾是否应予以保留。
