Department of Surgery, University of Kragujevac, Kragujevac, Serbia.
J Pak Med Assoc. 2023 Jul;73(7):1518-1520. doi: 10.47391/JPMA.6700.
Amyand's hernia represents an inguinal hernia containing an appendix within the hernia sac. This extremely rare condition occurs in approximately 1% of all inguinal hernias. This report describes the case of an 84-year-old male who presented with a right inguinal mass that intraoperatively turned out to be Amyand's hernia type-II with a gangrenous and perforated appendix. An appendectomy and peritoneal lavage were performed, followed by a hernioplasty where a modified Bassini repair was used. The patient fully recovered, and was discharged from the hospital on the fourth day. A non-reducible inguinal hernia containing a perforated appendix is a very rare emergency that requires immediate intervention to prevent abdominal sepsis. Therefore, while examining an inguinal hernia, the possibility of Amyand's hernia should always be considered.
艾米安德疝是一种腹股沟疝，疝囊内包含阑尾。这种极其罕见的情况约占所有腹股沟疝的 1%。本报告描述了一例 84 岁男性患者，其右侧腹股沟区出现肿块，术中证实为 II 型艾米安德疝，阑尾坏疽穿孔。行阑尾切除术和腹腔灌洗，随后行疝修补术，采用改良巴斯尼修复。患者完全康复，第四天出院。含有穿孔阑尾的不可复性腹股沟疝是一种非常罕见的紧急情况，需要立即干预以防止腹腔感染。因此，在检查腹股沟疝时，应始终考虑到存在艾米安德疝的可能性。
