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[艾米安德疝:两例报告及文献复习]

[Amyand's hernia: a report of two cases and review of the bibliography].

作者信息

Manzanares-Campillo Maria del Carmen, Muñoz-Atienza Virginia, Sánchez-García Susana, García-Santos Esther, Ruescas-García Francisco, Martín-Fernández Jesús

出版信息

Cir Cir. 2014 Mar-Apr;82(2):195-9.

Abstract

BACKGROUND

Presence of the vermiform appendix in an inguinal hernia sac is an uncommon finding (1%), exceptionally rare if it's inflamed (0.13%). Clinically simulating incarcerated inguinal hernia and proper preoperative diagnosis is exceptional. We present two unusual cases of Amyand's hernia, and review of the bibliography.

CLINICAL CASES

  1. Male patient 78 year old with an incarcerated right inguinal hernia which was performed preoperatively the diagnosis of Amyand's hernia by abdominal Computed Tomography. Clinical case 2. Female patient 82 year old with symptoms of an incarcerated right femoral hernia that finally showed an Amyand's hernia through a right inguinal hernia.

CONCLUSIONS

Amyand's hernia is a rare entity whose preoperative diagnosis is uncommon, that it should always be considered in the differential diagnosis in cases with clinical signs of incarcerated right inguinal hernia.

摘要

背景

腹股沟疝囊中存在阑尾是一种罕见的发现(1%),如果阑尾发炎则极为罕见(0.13%)。临床上模拟嵌顿性腹股沟疝且进行正确的术前诊断非常少见。我们呈现两例罕见的艾米安德疝病例,并回顾相关文献。

临床病例

  1. 一名78岁男性患者,患有嵌顿性右侧腹股沟疝,术前通过腹部计算机断层扫描诊断为艾米安德疝。临床病例2. 一名82岁女性患者,有嵌顿性右侧股疝的症状,最终通过右侧腹股沟疝发现为艾米安德疝。

结论

艾米安德疝是一种罕见的病症,术前诊断并不常见,在有嵌顿性右侧腹股沟疝临床体征的病例鉴别诊断中应始终予以考虑。

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