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艾米安德疝:一例内容物包含阑尾的右侧腹股沟阴囊疝。

Amyand's hernia: a case of right inguinoscrotal hernia with appendiceal content.

作者信息

Khandelwal Shreya, Kaur Alamjeet, Singh Shashi, Ghosh Aneek

机构信息

Koirala Institute of Health Sciences, Dharan.

Kharkiv National Medical University.

出版信息

Ann Med Surg (Lond). 2024 May 6;86(6):3791-3795. doi: 10.1097/MS9.0000000000002137. eCollection 2024 Jun.

Abstract

INTRODUCTION

Amyand's hernia, a rare condition where the appendix becomes lodged in the inguinal canal, poses diagnostic challenges due to its varied clinical presentations and lack of distinctive radiological features. This case underscores the importance of early detection and comprehensive diagnostic evaluation.

CASE PRESENTATION

A 30-year-old male presented with a 2-year history of right inguinoscrotal swelling, culminating in agonizing symptoms and irreducible masses over the inguinoscrotal area. Despite the absence of significant medical history, diagnostic imaging confirmed a complete right inguinoscrotal hernia and bilateral hydrocele with internal echoes.

CLINICAL DISCUSSION

The case illustrates the difficulties in preoperative diagnosis of Amyand's hernia, emphasizing the reliance on imaging modalities and clinical assessment. Successful surgical intervention involving appendectomy and hernioplasty highlights the necessity for prompt diagnosis and management.

CONCLUSION

This case exemplifies the challenges and complexities associated with Amyand's hernia, emphasizing the importance of early recognition and comprehensive surgical planning. Moving forward, increased clinical vigilance and awareness are essential to ensure optimal patient outcomes in cases of inguinoscrotal pathology.

摘要

引言

艾米安德疝是一种罕见病症,阑尾进入腹股沟管,因其临床表现多样且缺乏独特的放射学特征,给诊断带来挑战。本病例强调了早期检测和全面诊断评估的重要性。

病例介绍

一名30岁男性,有右侧腹股沟阴囊肿胀2年病史,最终导致腹股沟阴囊区域出现剧痛症状及不可复性肿块。尽管无重大病史,但诊断性影像学检查证实为完全性右侧腹股沟阴囊疝及双侧伴有内部回声的鞘膜积液。

临床讨论

该病例说明了艾米安德疝术前诊断的困难,强调了对影像学检查方法和临床评估的依赖。成功的手术干预包括阑尾切除术和疝修补术,凸显了及时诊断和处理的必要性。

结论

本病例体现了与艾米安德疝相关的挑战和复杂性,强调了早期识别和全面手术规划的重要性。展望未来,提高临床警惕性和认识对于确保腹股沟阴囊病变患者获得最佳治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/477a/11152776/22a8aff575b0/ms9-86-3791-g001.jpg

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