D'Amata G, Del Papa M, Palmieri I, Florio G, Musmeci L, Manzi F, Del Vecchio C, Carnì P, Crovaro M, Buonocore V
G Chir. 2019 Nov-Dec;40(6):587-589.
Any inguinal hernia containing the vermiform appendix is called Amyand's hernia. Amyand hernias are very rare and even rarer is the association of Amyand hernia with acute appendicitis. Due to the rarity of this entity, it constitutes a challenging case in terms of diagnosis and treatment. The surgical management is not yet standardized and there are no clear guidelines. There are some controversies regarding whether to perform an appendectomy if appendix appears normal or whether mesh can be used for the hernia repair if appendectomy is performed. We describe a case of Amyand hernia in a 90-year old man with acute appendicitis and we review current literature regarding surgical strategy.
任何包含阑尾的腹股沟疝都被称为艾米安德疝。艾米安德疝非常罕见，而艾米安德疝合并急性阑尾炎则更为罕见。由于这种情况罕见，在诊断和治疗方面构成了一个具有挑战性的病例。手术管理尚未标准化，也没有明确的指南。对于阑尾外观正常时是否进行阑尾切除术，或者进行阑尾切除术后是否可使用补片进行疝修补，存在一些争议。我们描述了一例90岁男性患有急性阑尾炎的艾米安德疝病例，并回顾了有关手术策略的当前文献。
