Dange Avadhut, Gireboinwad Satish
Department of General Surgery, SRTR Medical College, Ambajogai, Beed, Maharashtra 431517 India ; Swami Ramanand Teerth Rural Medical College and Hospital, Ambajogai, Maharashtra 431517 India.
Indian J Surg. 2013 Aug;75(4):332-3. doi: 10.1007/s12262-013-0870-z. Epub 2013 Mar 28.
The finding of the vermiform appendix in an inguinal hernia has an incidence of approximately 1 %. The condition is given the eponymous name "Amyand's hernia." However, in just 0.08 %, the condition is complicated by an acute appendicitis. The clinical presentation varies, depending on the extent of inflammation of the appendix, and is most often misdiagnosed as an incarcerated inguinal hernia. As such, it is rarely recognized prior to surgical exploration. We report a case of Amyand's hernia in a 3-year-old child who presented as a right-sided congenital hernia with pain in the right groin. He underwent herniotomy, which revealed that the hernia sac containing elongated inflamed appendix appeared with some adhesions to sac, lying in the inguinal canal.
在腹股沟疝中发现阑尾的发生率约为1%。这种情况被赋予了“阿米亚德疝(Amyand's hernia)”这个同名名称。然而,仅有0.08%的情况会并发急性阑尾炎。临床表现因阑尾炎症程度而异,最常被误诊为嵌顿性腹股沟疝。因此,在手术探查前很少被识别出来。我们报告一例3岁儿童的阿米亚德疝病例,该患儿表现为右侧先天性疝伴右侧腹股沟疼痛。他接受了疝修补术,术中发现疝囊内含有拉长的发炎阑尾,阑尾与疝囊有一些粘连,位于腹股沟管内。