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绞窄性艾米安德疝:叙利亚首例病例报告。

A Strangulated Amyand's hernia:The first case report in Syria.

作者信息

Alibrahim Hidar, Albattour Mouhammad, Swed Sarya, Sawaf Bisher

机构信息

Faculty of Human Medicine, Aleppo University, Aleppo, Syria.

Department of General Surgery, Alrazi Hospital, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2021 Nov 17;72:103064. doi: 10.1016/j.amsu.2021.103064. eCollection 2021 Dec.

Abstract

Amyand's hernia is a rare case of inguinal hernia where the hernia sac contains the appendix, and depending on the condition of the appendix, this type is classified into under types where the appendix can be normal, inflamed, or even perforated. Accordingly, the patient's condition can be good or bad. In our case, we have a 13-year-old child who suffers from abdominal pain and discomfort. He is referred to the emergency department with this complaint. By clinical and radiological examination, the presence of an inguinal hernia containing the appendix was found. Based on that, we performed emergency and investigative surgery in order to determine the condition of the appendix and whether there is suffocation or not. It was found by surgical opening that the hernia was incarcerated and this required excision of the appendix and repair of the hernia.

摘要

艾米安德疝是一种罕见的腹股沟疝,疝囊内包含阑尾,根据阑尾的状况,这种类型可分为阑尾正常、发炎甚至穿孔等亚型。相应地,患者的病情可能良好或不佳。在我们的病例中,有一名13岁的儿童,他患有腹痛和不适。他因这一主诉被转诊至急诊科。通过临床和影像学检查,发现存在一个包含阑尾的腹股沟疝。基于此,我们进行了急诊和探查手术,以确定阑尾的状况以及是否存在绞窄。手术切开后发现疝已嵌顿,这需要切除阑尾并修补疝。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b0/8605399/acb5ab14572c/gr1.jpg

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