Samsami Majid, Sayadi Shahram, Qaderi Shohra, Zebarjadi Bagherpour Javad
Department of Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran 1617763141, Iran.
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran 1617763141, Iran.
Int J Surg Case Rep. 2020;77:507-509. doi: 10.1016/j.ijscr.2020.11.060. Epub 2020 Nov 14.
Amyand hernia is a rare type of hernia in which the appendix is located inside the hernia sac.Its diagnosis is very difficult in the Pre-operative period and it is usually presented as an intraoperative finding.
A 21-year-old male who presented to our emergency department with peri-umbilical pain associated with nausea and vomiting. On examination he had a tenderness in the inguinal canal. He underwent diagnostic laparoscopy. Operative finding was amyand hernia with inflamed appendix in hernia sac. Laparoscopic appendectomy and tissue repair was performed for him.
There are several preoperative diagnostic modalities for amyand hernia including abdominal CT scan and ultrasound. Diagnostic laparoscopy can be used as one of the diagnostic modalities for this type of hernia. Amyand hernia treatment includes appendectomy and inguinal hernia repair, which can vary depending on the severity of inflammation of the inguinal area.
based on our study another diagnostic modality in case of clinical suspicion of amyand hernia is diagnostic laparoscopy which is useful approach in all forms of incarcerated hernias to assess contents and avoid unnecessary laparotomy.
艾米安德疝是一种罕见的疝，阑尾位于疝囊内。其在术前很难诊断，通常是在术中发现。
一名21岁男性因脐周疼痛伴恶心呕吐到我院急诊科就诊。检查发现他腹股沟管有压痛。他接受了诊断性腹腔镜检查。手术发现为艾米安德疝，疝囊内阑尾发炎。为他实施了腹腔镜阑尾切除术和组织修复。
艾米安德疝有多种术前诊断方法，包括腹部CT扫描和超声检查。诊断性腹腔镜检查可作为此类疝的诊断方法之一。艾米安德疝的治疗包括阑尾切除术和腹股沟疝修补术，具体方式可根据腹股沟区炎症的严重程度而有所不同。
根据我们的研究，对于临床怀疑为艾米安德疝的病例，另一种诊断方法是诊断性腹腔镜检查，这对所有类型的嵌顿疝都是一种有用的方法，可用于评估疝内容物，避免不必要的剖腹手术。
