Division of Pediatric Surgery, dr. Soebandi Regional Hospital-Faculty of Medicine, Jember University, Jember, East Java, Indonesia.
Faculty of Medicine, Universitas Jember, Jl Kalimantan No 37, Krajan Timur, Sumber sari Kec Sumber sari, Jember, 68121, East Java, Indonesia.
BMC Surg. 2020 Dec 2;20(1):309. doi: 10.1186/s12893-020-00947-w.
Amyand's hernia is a rare condition approximately 0.4-0.6% of all inguinal hernias. Although rare, the Amyand's hernia is worthy of discussion since the variable presentation that make clinical challenge to diagnose especially in infant. A mesenteric chylous cyst is rare disease and has not been reported in Amyand's hernia.
We report an unusual case of Type II Amyand's hernia with an enlarging chylous mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. A-2-months old infant presented with enlarging mass in the right scrotal. During laparotomy exploration, we found inguinal sac with intestinal and appendix content in the sac. In the edge site of the sac we found enlarging of mesenteric cyst on the retrocaecal in the anulus into canalis inguinalis. Based on the histopathology examination, the morphological feature is suitable for mesenteric chylous cyst appearance.
Presentation of mesenteric chylous cyst is rare, and there was no report about it in Amyand's hernia. This unusual presentation should be considered by the surgeon, especially pediatric surgeon, in Amyand's hernia cases.
Amyand 疝是一种罕见的疾病，约占所有腹股沟疝的 0.4-0.6%。尽管罕见，但由于其多变的表现形式，使得临床诊断具有挑战性，尤其是在婴儿中，因此 Amyand 疝值得讨论。肠系膜乳糜囊肿是一种罕见疾病，尚未在 Amyand 疝中报道。
我们报告了一例不寻常的 II 型 Amyand 疝病例，在回盲部后环处的回肠系膜内有一个增大的乳糜性囊肿进入腹股沟管。一名 2 个月大的婴儿出现右侧阴囊内肿块增大。在剖腹探查期间，我们发现疝囊内有肠和阑尾内容物。在囊的边缘部位，我们发现回盲部后环处的回肠系膜内有一个增大的囊肿进入腹股沟管。基于组织病理学检查，形态学特征适合肠系膜乳糜囊肿的表现。
肠系膜乳糜囊肿的表现罕见，在 Amyand 疝中也没有报道。这种不寻常的表现应该引起外科医生，特别是小儿外科医生的注意，尤其是在 Amyand 疝病例中。
