Joshi Jayateertha, Mallik Esha, Ahmed Talha, Bhat Rahul, Varghese George M
Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Int J Surg Case Rep. 2022 Jul;96:107374. doi: 10.1016/j.ijscr.2022.107374. Epub 2022 Jul 1.
Amyand hernia is a clinical condition wherein content of the inguinal hernial sac is formed by the vermiform appendix.
1 year 3-month-old male child presented to our OPD with an irreducible left inguinal hernia for which he was taken up for an emergency herniotomy. The terminal ileum, caecum and appendix were found to be the contents of the hernial sac.
As the appendix is anatomically located on the right, Amyand hernia more commonly occurs on the right, however its occurrence on the left, is a rare event and is usually associated with congenital anomalies like Intestinal malrotation, Situs inversus and mobile caecum.
Amyand hernia presenting on the left is extremely rare and high index of clinical suspicion is required to manage such patients. We report one such rare case of a Left sided Amyand hernia in a young child.
艾米安德疝是一种临床病症,其中腹股沟疝囊的内容物由阑尾构成。
一名1岁3个月大的男童因左侧不可复性腹股沟疝前来我院门诊,为此他接受了急诊疝修补术。发现疝囊内容物为回肠末端、盲肠和阑尾。
由于阑尾在解剖学上位于右侧,艾米安德疝更常见于右侧,然而其在左侧发生是罕见事件,通常与先天性异常如肠旋转不良、内脏反位和游动盲肠有关。
左侧艾米安德疝极为罕见,处理此类患者需要高度的临床怀疑指数。我们报告了一名幼儿左侧艾米安德疝的罕见病例。