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3个月大婴儿的艾米安德疝:一例报告。

Amyand's hernia in a 3-month-old infant: A case report.

作者信息

Obilat Samia, El Graini Soumya, Allali Nazik, Chat Latifa, Aqqaoui Loubna, Ettayebi Fouad, El Haddad Siham

机构信息

Pediatric Radiology Department, Children's Hospital, University Mohammed V, Rabat, Morocco.

Pediatric Surgery Department, Children's Hospital, University Mohammed V, Rabat, Morocco.

出版信息

SAGE Open Med Case Rep. 2024 Apr 10;12:2050313X241246876. doi: 10.1177/2050313X241246876. eCollection 2024.

Abstract

Amyand's hernia is a rare condition characterized by an inguinal hernia containing the appendix, which can lead to complications. It is more common in children and it can be challenging to diagnose due to its location, often being mistaken for other conditions like strangulated hernias, orchitis-epididymitis, or testicular torsion. Imaging, including computed tomography and sonography, plays an important role in diagnosis, which is usually made intraoperatively. A case concerning a 3-month-old boy with a large acute scrotum that had been evolving for 4 days was presented. Clinical examination revealed a hard inguinal mass and a large scrotum with signs of inflammation. An inguinoscrotal ultrasound found a herniated appendix, suggesting the diagnosis of Amyand's hernia, which was confirmed after surgery.

摘要

艾米安德疝是一种罕见病症,其特征为腹股沟疝包含阑尾,可导致并发症。它在儿童中更为常见,由于其位置关系,诊断具有挑战性,常被误诊为绞窄性疝、睾丸炎-附睾炎或睾丸扭转等其他病症。包括计算机断层扫描和超声检查在内的影像学检查在诊断中发挥重要作用,诊断通常在手术中做出。本文介绍了一例3个月大男婴的病例,其急性阴囊肿大已持续4天。临床检查发现腹股沟有一硬肿块,阴囊肿大并有炎症迹象。腹股沟阴囊超声检查发现阑尾疝出,提示为艾米安德疝,术后得以确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/018f/11008343/72633f89d376/10.1177_2050313X241246876-fig1.jpg

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