Shekhani Haris N, Rohatgi Saurabh, Hanna Tarek, Johnson Jamlik-Omari
Division of Emergency Radiology, Emory University, Atlanta, GA 30308, USA.
J Radiol Case Rep. 2016 Dec 31;10(12):7-11. doi: 10.3941/jrcr.v10i12.2833. eCollection 2016 Dec.
Amyand's hernia is a rare and atypical hernia characterized by the herniation of the appendix into the inguinal sac. This hernia may be present without symptoms until inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation or rupture. Early symptoms include tenderness and inguinal swelling which may be misdiagnosed as a strangulated hernia. This condition can be difficult to diagnose clinically. Ultrasound and Computed Tomography may aid in diagnosis. This article presents a rare case of Amyand's hernia followed by a discussion of the epidemiology, diagnosis, imaging details and treatment options for this condition.
艾米安德疝是一种罕见的非典型疝,其特征是阑尾疝入腹股沟管。这种疝可能在没有症状的情况下存在,直到阑尾炎症可能导致嵌顿、绞窄、坏死、穿孔或破裂。早期症状包括压痛和腹股沟肿胀,可能被误诊为绞窄性疝。这种情况在临床上可能难以诊断。超声和计算机断层扫描可能有助于诊断。本文介绍了一例罕见的艾米安德疝病例,随后讨论了该病的流行病学、诊断、影像学细节和治疗选择。