伴发急性阑尾炎的嵌顿性 Amyand 疝和锯齿状腺瘤偶然发现
Incarcerated Amyand Hernia Associated With Acute Appendicitis and Incidental Finding of Serrated Adenoma.
机构信息
Northeast Georgia Medical Center and Health System, Gainesville, GA, USA.
出版信息
Am Surg. 2023 Jul;89(7):3241-3242. doi: 10.1177/00031348231157828. Epub 2023 Feb 17.
BACKGROUND
Amyand hernias are rare as they represent 0.5% of all hernias. An Amyand hernia that is discovered due to acute appendicitis is even rarer, accounting for approximately 0.11% of cases. Furthermore, appendiceal neoplasms are infrequently encountered in only 0.7-1.7% of appendectomy specimens.
PURPOSE
This paper presents the case of an 85 year-old man presenting with acute appendicitis located within an amyand hernia as well as a serrated adenoma noted on final pathology.
CONCLUSIONS
An Amyand hernia is a rare diagnosis. We proceeded with laparoscopic appendectomy and interval inguinal hernia repair. Pathology should be reviewed for all patients and proper follow up ensured for all incidental findings.
背景
Amyand 疝非常罕见，仅占所有疝的 0.5%。由于急性阑尾炎而发现的 Amyand 疝更为罕见，约占病例的 0.11%。此外，阑尾肿瘤在阑尾切除标本中仅占 0.7-1.7%，也很少见。
目的
本文报告了一例 85 岁男性，因急性阑尾炎位于 Amyand 疝内，以及最终病理上发现锯齿状腺瘤。
结论
Amyand 疝是一种罕见的诊断。我们进行了腹腔镜阑尾切除术和间隔腹股沟疝修补术。应审查所有患者的病理，并确保对所有偶然发现进行适当的随访。
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