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艾米安德疝:嵌顿性腹股沟疝合并阑尾穿孔

Amyand's Hernia: Perforated Appendix in an Incarcerated Inguinal Hernia.

作者信息

Gupta Anupam K, Vazquez Oscar A, El Haddi James, Dedwylder Michael, Yeguez Jose F

机构信息

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

出版信息

Cureus. 2020 Apr 10;12(4):e7622. doi: 10.7759/cureus.7622.

DOI:10.7759/cureus.7622
PMID:32399355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7213651/
Abstract

Amyand's hernia is an unusual condition characterized by the presence of a normal or inflamed appendix located within an inguinal hernia. We present a rare situation wherein a 56-year-old male patient presented with an incarcerated inflamed appendix in a right inguinal hernia. He was emergently taken to the operating room, with diagnostic laparoscopy changed to open, due to incarcerated cecum and terminal ileum. The incarcerated segment had to be resected with primary anastomosis. The inflamed and purulent contents were washed out, and the hernia defect was left unrepaired due to the presence of abscess in the inguinal canal.

摘要

艾米安德疝是一种罕见病症,其特征为腹股沟疝内存在正常或发炎的阑尾。我们呈现了一种罕见情况,一名56岁男性患者因右侧腹股沟疝合并嵌顿性发炎阑尾前来就诊。由于盲肠和回肠末端嵌顿,他被紧急送往手术室,原本的诊断性腹腔镜检查改为开放手术。嵌顿段不得不进行切除并一期吻合。冲洗掉发炎和化脓的内容物,由于腹股沟管存在脓肿,疝缺损未予修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/775e94d7a467/cureus-0012-00000007622-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/93cbe4605e2a/cureus-0012-00000007622-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/72c206fd7f46/cureus-0012-00000007622-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/dd8861d34182/cureus-0012-00000007622-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/775e94d7a467/cureus-0012-00000007622-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/93cbe4605e2a/cureus-0012-00000007622-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/72c206fd7f46/cureus-0012-00000007622-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/dd8861d34182/cureus-0012-00000007622-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d6/7213651/775e94d7a467/cureus-0012-00000007622-i04.jpg

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Amyand's Hernia: Perforated Appendix in an Incarcerated Inguinal Hernia.艾米安德疝:嵌顿性腹股沟疝合并阑尾穿孔
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引用本文的文献

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Amyand's hernia: a case of right inguinoscrotal hernia with appendiceal content.艾米安德疝:一例内容物包含阑尾的右侧腹股沟阴囊疝。
Ann Med Surg (Lond). 2024 May 6;86(6):3791-3795. doi: 10.1097/MS9.0000000000002137. eCollection 2024 Jun.
2
Controversies Regarding Mesh Utilisation and the Attitude towards the Appendix in Amyand's Hernia-A Systematic Review.关于Amyand疝中补片使用及阑尾处理的争议——一项系统评价
Diagnostics (Basel). 2023 Nov 26;13(23):3534. doi: 10.3390/diagnostics13233534.
3
Amyand hernia as a rare cause of abdominal pain: A case report and literature review.

本文引用的文献

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Adult abdominal hernias.成人腹外疝。
AJR Am J Roentgenol. 2014 Jun;202(6):W506-11. doi: 10.2214/AJR.13.12071.
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Amyand's hernia: 10 years' experience.艾米安德疝:十年经验
Surgeon. 2009 Aug;7(4):198-202. doi: 10.1016/s1479-666x(09)80084-x.
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Amyand's hernia in premature twins.早产双胞胎中的艾米安德疝
艾米安德疝作为腹痛的罕见病因:一例病例报告及文献综述
Clin Case Rep. 2023 Sep 27;11(10):e7929. doi: 10.1002/ccr3.7929. eCollection 2023 Oct.
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Misdiagnosis of vasitis: a potential diagnostic pitfall with computed tomography.输精管炎的误诊:计算机断层扫描潜在的诊断陷阱
Basic Clin Androl. 2022 Oct 11;32(1):19. doi: 10.1186/s12610-022-00168-6.
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Left-side incarcerated Amyand's hernia with appendix and caecum provoke by early banana diet: a case report.早期香蕉饮食引发的左侧嵌顿性艾米安德疝伴阑尾和盲肠:一例报告
BMC Gastroenterol. 2021 Apr 13;21(1):165. doi: 10.1186/s12876-021-01752-2.
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Amyand hernia: what lies beneath--a proposed classification scheme to determine management.艾米安德疝:其内在情况——一种用于确定治疗方案的拟议分类方案
Am Surg. 2007 Dec;73(12):1288-90.
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Laparoscopic extraperitoneal repair of Amyand's inguinal hernia.腹腔镜腹膜外修补法氏腹股沟疝
JSLS. 2006 Oct-Dec;10(4):528-30.
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Amyand's hernia: a report of 18 consecutive patients over a 15-year period.艾米安德疝:15年间连续18例患者的报告。
Hernia. 2007 Feb;11(1):31-5. doi: 10.1007/s10029-006-0153-8. Epub 2006 Sep 26.
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Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT.腹壁疝:多排探测器CT的影像特征、并发症及诊断陷阱
Radiographics. 2005 Nov-Dec;25(6):1501-20. doi: 10.1148/rg.256055018.
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Amyand's hernia: a case report of prospective ct diagnosis in the emergency department.艾米安德疝:急诊科前瞻性CT诊断的病例报告
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Hernias: inguinal and incisional.疝:腹股沟疝和切口疝。
Lancet. 2003 Nov 8;362(9395):1561-71. doi: 10.1016/S0140-6736(03)14746-0.
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Amyand's hernia: case report and review of the literature.艾米安德疝:病例报告及文献综述
Hernia. 2003 Jun;7(2):89-91. doi: 10.1007/s10029-002-0098-5. Epub 2003 Jan 15.