Assad Majd A, Boushal Thamer A, Halawani Zeyad W, Alruwaili Rayan S, Alkuwaiti Yakeen H, Alghamdi Aisha M, Bahri Wedad A, Albilasi Bader M, Alghamdi Shrouq M, Alghanmi Bushra M, Alghanmi Manal M, Alghamdi Abdulaziz J, Alkhaldi Moath M, Alshammari Malak
Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Surgery, College of Medicine, King Faisal University, Al-Ahsa, SAU.
Cureus. 2021 Oct 12;13(10):e18720. doi: 10.7759/cureus.18720. eCollection 2021 Oct.
A hernia is an abnormal protrusion of an organ or tissue from its containing cavity. Inguinal hernia is the most common type of abdominal hernias. The presence of the appendix within the inguinal hernial sac is a rare occurrence. We present the case of a 41-year-old man, with no previous surgical history, who presented to the emergency department with a right-sided painful groin swelling. The swelling was associated with nausea, vomiting, anorexia, and fever. Initial laboratory investigation revealed leukocytosis and elevated C-reactive protein and erythrocyte sedimentation rate. A computed tomography (CT) scan demonstrated the presence of an inflamed appendix with an inguinal hernia. The patient underwent laparoscopic repair of the hernia with appendectomy. The patient tolerated the procedure without any complications. Amyand hernia with acute appendicitis is a very rare surgical condition. Clinicians should have a high index of suspicion for Amyand hernia with appendicitis when they encounter a patient with groin mass with laboratory markers indicating an inflammatory process.
疝是指器官或组织从其容纳腔异常突出。腹股沟疝是最常见的腹外疝类型。阑尾位于腹股沟疝囊内的情况较为罕见。我们报告一例41岁男性病例，该患者既往无手术史，因右侧腹股沟区疼痛性肿胀就诊于急诊科。肿胀伴有恶心、呕吐、厌食和发热。初步实验室检查显示白细胞增多、C反应蛋白及红细胞沉降率升高。计算机断层扫描（CT）显示存在伴有腹股沟疝的发炎阑尾。患者接受了疝修补术及阑尾切除术的腹腔镜手术。患者耐受手术，未出现任何并发症。伴有急性阑尾炎的艾米安德疝是一种非常罕见的外科疾病。临床医生在遇到腹股沟肿块且实验室指标提示炎症过程的患者时，应高度怀疑伴有阑尾炎的艾米安德疝。
