Ahmed Khalid, Hakim Suhail, Suliman Ahmed M, Aleter Ammar, El-Menyar Ayman, Mustafa Sheriff Abdulazeim, Zarour Ahmad, Al-Thani Hassan
Department of Surgery, Hamad General Hospital, Doha, Qatar.
Trauma Surgery, Hamad General Hospital, Doha, Qatar.
Int J Surg Case Rep. 2017;35:37-40. doi: 10.1016/j.ijscr.2017.04.003. Epub 2017 Apr 4.
Amyand hernia (AH) is a rare type of hernia characterized by the presence of appendix vermiformis in the inguinal hernial sac. It is rarely reported in women.
We presented a case of a 60- year old woman who was admitted initially with an abdominal wall abscess and found to have perforated appendix in the right inguinal hernia. The patient underwent standard open appendectomy and the post-operative course was uneventful.
The initial presentation of our case as an abdominal wall abscess is rare in the contemporary literature.
A high index of suspicious, early diagnosis and timely surgical intervention are the keys to have favorable outcome in amyand hernia. The management should follow general guidelines of appendectomy, hernia repair and dealing with the associated pathology if present.
艾米安德疝（AH）是一种罕见的疝类型，其特征是腹股沟疝囊内存在阑尾。在女性中很少有报道。
我们报告了一例60岁女性病例，该患者最初因腹壁脓肿入院，发现右侧腹股沟疝中有穿孔的阑尾。患者接受了标准的开放式阑尾切除术，术后过程顺利。
在当代文献中，我们病例最初表现为腹壁脓肿的情况很少见。
高度的怀疑指数、早期诊断和及时的手术干预是艾米安德疝取得良好预后的关键。治疗应遵循阑尾切除术、疝修补术以及处理相关病理情况（如有）的一般指南。
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