Millay David S, Ofoma Chiedozie Max, Brounts Lionel R
Indiana University School of Medicine, 2101 E Coliseum Blvd E, Fort Wayne, IN, 46805, USA.
Indiana University School of Medicine, 2101 E Coliseum Blvd E, Fort Wayne, IN, 46805, USA; VA Northern Indiana Health Care System, Department of General Surgery, 2121 Lake Avenue, Fort Wayne, IN, 46805, USA.
Int J Surg Case Rep. 2020;77:422-425. doi: 10.1016/j.ijscr.2020.11.021. Epub 2020 Nov 7.
An Amyand's hernia is a rare disease where a vermiform appendix is found within an inguinal hernia sac. It is reported in the literature as having an incidence between 0.4%-1.0% of reported hernia cases. Typically, an incidental finding, Amyand's hernia is consequently found more frequently intra-operatively rather than preoperatively.
This case is a recount of a 56-year-old male, who presented in an outpatient setting for the evaluation of right inguinal pain and bulge. The patient was diagnosed with a vermiform appendix within the indirect hernia. The patient underwent elective repair of his inguinal hernia via Transabdominal Preperitoneal (TAPP) approach of the hernia with avoidance of appendectomy.
An Amyand's hernia presents a challenging diagnosis and the treatment algorithm is contingent on the condition of the appendix in individual cases. This case presents a Type 1 Amyand's hernia that was repaired through laparoscopic approach using prosthetic mesh. The aim of this case study highlights the approach to surgical decision making in the diagnosis and treatment of Amyand's hernia proposed in the current literature.
This case presents a rare condition known as Amyand's hernia followed by a discussion on the epidemiology, diagnostic workup, and treatment options. Treatment is dependent on the state of the appendix found in the hernia sac and the clinical scenario. Comprehensive literature review shows that the true prevalence of this disease is lower than classically described and still has no clear standardized approaches.
艾米安德疝是一种罕见疾病，即在腹股沟疝囊中发现阑尾。据文献报道，其在所有报道的疝病例中的发病率为0.4%-1.0%。通常为偶然发现，因此艾米安德疝更多是在手术中而非术前被发现。
本病例讲述了一名56岁男性，因右侧腹股沟疼痛和肿块前来门诊评估。患者被诊断为间接疝内有阑尾。患者通过经腹腹膜前（TAPP）疝修补术进行了择期腹股沟疝修补，避免了阑尾切除术。
艾米安德疝诊断具有挑战性，治疗方案取决于个别病例中阑尾的状况。本病例为1型艾米安德疝，通过腹腔镜使用人工补片进行了修补。本病例研究旨在强调当前文献中提出的艾米安德疝诊断和治疗的手术决策方法。
本病例展示了一种名为艾米安德疝的罕见病症，随后讨论了其流行病学、诊断检查和治疗选择。治疗取决于在疝囊中发现的阑尾状况和临床情况。全面的文献综述表明这种疾病的实际患病率低于经典描述，且仍没有明确的标准化方法。
