Ivanschuk Galyna, Cesmebasi Alper, Sorenson Edward P, Blaak Christa, Loukas Marios, Tubbs Shane R
Department of Anatomical Sciences, School of Medicine, St George's University, St. George, Grenada.
Pediatric Neurosurgery, Children's Hospital, Birmingham, USA.
Med Sci Monit. 2014 Jan 28;20:140-6. doi: 10.12659/MSM.889873.
Abstract Amyand's hernia is defined as when the appendix is trapped within an inguinal hernia. While the incidence of this type of hernia is rare, the appendix may become incarcerated within Amyand's hernia and lead to further complications such as strangulation and perforation. Incarceration of the appendix most commonly occurs within inguinal and femoral hernias, but may arise to a lesser extent in incisional and umbilical hernias. Incarcerated appendix has been reported in a variety of ventral abdominal and inguinal locations, yet its indistinct clinical presentation represents a diagnostic challenge. This paper reviews the literature on incarceration of the appendix within inguinal hernias and discusses current approaches to diagnosis and treatment of Amyand's hernia and complications that may arise from incarceration of the appendix within the hernia.
摘要 艾米安德疝的定义为阑尾被困于腹股沟疝内。虽然此类疝的发病率很低，但阑尾可能会在艾米安德疝内发生嵌顿，并导致诸如绞窄和穿孔等进一步的并发症。阑尾嵌顿最常发生于腹股沟疝和股疝，但在切口疝和脐疝中也有较少发生。已有报道阑尾嵌顿于各种腹前壁和腹股沟部位，但其临床表现不明显，构成诊断挑战。本文回顾了关于阑尾在腹股沟疝内嵌顿的文献，并讨论了目前艾米安德疝的诊断和治疗方法以及阑尾在疝内嵌顿可能引发的并发症。
