Parekh Akshat T, Diamond Keith, Littlejohn Monty, Ehsani-Nia Hamid, Amro Chris
Rutgers Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA.
Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
J Surg Case Rep. 2021 Apr 14;2021(4):rjaa499. doi: 10.1093/jscr/rjaa499. eCollection 2021 Apr.
Amyand's hernia is a rare classification of inguinal hernia where the vermiform appendix is located within the hernial sac. This case report discusses a patient presenting with abdominal and groin pain shown to be an Amyand's hernia complicated by acute appendicitis on computed tomography. The patient was treated with a two-stage approach, involving transabdominal laparoscopic appendectomy and elective laparoscopic hernioplasty after recovery. As some controversy exists regarding the timing of appendectomy and hernioplasty, we examine the benefits of the interval approach in the reduction of postoperative infection risk compared with a concurrent approach in patients presenting with Amyand's hernia complicated by appendiceal inflammation.
艾米安德疝是腹股沟疝的一种罕见类型,其中阑尾位于疝囊内。本病例报告讨论了一名出现腹部和腹股沟疼痛的患者,经计算机断层扫描显示为合并急性阑尾炎的艾米安德疝。该患者采用两阶段方法进行治疗,包括经腹腹腔镜阑尾切除术以及恢复后择期腹腔镜疝修补术。由于在阑尾切除术和疝修补术的时机选择上存在一些争议,我们探讨了间隔手术方法与同期手术方法相比,在降低合并阑尾炎症的艾米安德疝患者术后感染风险方面的益处。