艾米安德疝：最新技术水平与新观点
Amyand's Hernia, State of the Art and New Points of View.
作者信息
Mantovani Guido, De Angelis Michela, Di Lecce Francesco, Pascariello Annalisa, Risio Domenico, Boccia Luigi
机构信息
Division of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynaecology and Paediatrics, University of Verona, Verona, Italy.
Department of General Surgery, Carlo Poma Hospital, Mantua, Italy.
出版信息
Case Rep Surg. 2017;2017:9598478. doi: 10.1155/2017/9598478. Epub 2017 Sep 17.
BACKGROUND
Amyand's hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH.
CASE PRESENTATION
A 75-year-old Caucasian man presented with incarceration of vermiform appendix in inguinal hernia sac. Diagnosis was posed preoperatively with computed tomography (CT) scan. Patient underwent urgent surgery and simultaneous appendectomy and hernia repair by Bassini's technique were performed.
CONCLUSIONS
Preoperative diagnosis of AH is rare; however it could be useful for surgeon to choose operative approach. Treatment of AH depends on grade of appendix inflammation and/or perforation. The technique utilized to repair hernia depends largely on surgeon's preferences; the presence of inflamed or perforated appendix is not an absolute contraindication for using a prosthetic mesh.
背景
艾米安德疝（AH）是一种包含阑尾的腹股沟疝，在所有腹股沟疝中发病率为0.4%至1%。急性阑尾炎或穿孔性阑尾炎会使AH病情复杂化。
病例报告
一名75岁的白人男性因阑尾被嵌顿在腹股沟疝囊中就诊。术前通过计算机断层扫描（CT）确诊。患者接受了紧急手术，同时进行了阑尾切除术，并采用巴西尼氏技术进行了疝修补术。
结论
AH的术前诊断很少见；然而，这对外科医生选择手术方式可能有用。AH的治疗取决于阑尾炎症和/或穿孔的程度。用于修补疝的技术很大程度上取决于外科医生的偏好；阑尾发炎或穿孔并非使用人工补片的绝对禁忌证。
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