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阿米亚德疝:成人复发性腹股沟疝合并嵌顿性阑尾炎

Amyand's Hernia: Incarcerated Appendicitis in a Recurrent Inguinal Hernia in an Adult.

作者信息

Rathod Jignesh B, Pathak Haryax V, Ajediya Kartik P, Bhatt Ravi K

机构信息

Surgery, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, IND.

Surgery, Surgery, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, IND.

出版信息

Cureus. 2024 Feb 3;16(2):e53528. doi: 10.7759/cureus.53528. eCollection 2024 Feb.

Abstract

Inguinal hernias are among the most common cases presented to a surgeon. In spite of extensive research and clinical experience over centuries, inguinal hernias still pose anatomical challenges for operating surgeons, especially with a propensity for recurrence. One such complicated entity is the Amyand's hernia - defined as an inguinal hernia contained within the hernial sac - the vermiform appendix - as the herniated content. It is a rare clinical presentation and carries with it certain complexities with regard to operative decisions and clinical management. We present a case of a 71-year-old male presenting with a recurrent inguinal hernia, with an incarcerated, inflamed appendix as the content; managed surgically with appendicectomy and herniorraphy, without the use of a prosthetic mesh.

摘要

腹股沟疝是外科医生接诊的最常见病例之一。尽管历经数百年的广泛研究和临床经验,但腹股沟疝仍给手术医生带来解剖学上的挑战,尤其是容易复发。一种这样的复杂情况是艾米安德疝——定义为疝囊内含有阑尾作为疝内容物的腹股沟疝。这是一种罕见的临床表现,在手术决策和临床管理方面存在一定复杂性。我们报告一例71岁男性复发性腹股沟疝病例,疝内容物为嵌顿、发炎的阑尾;通过阑尾切除术和疝修补术进行手术治疗,未使用人工补片。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6967/10912780/5b9071ffd575/cureus-0016-00000053528-i01.jpg

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