Suliman Alsadig, Elfaki Hussein, Hussein Sara
Department of General Surgery, Sudan Medical Specialization Board, Khartoum, Khartoum, Sudan.
Department of General Surgery, Sudan Medical Specialization Board, Khartoum, Khartoum, Sudan.
Int J Surg Case Rep. 2024 Sep;122:110114. doi: 10.1016/j.ijscr.2024.110114. Epub 2024 Aug 2.
Amyand's hernia (AH) is an extremely rare type of inguinal hernia where the vermiform appendix is present within the inguinal hernia sac. This report documents the first known instance of AH in Sudan, highlighting its unprecedented occurrence in this region.
A 2-month-old infant presented to the ER with an obstructed right-sided inguinal hernia for 6 h. During surgical repair, an inflamed appendix was found within the hernial sac. The appendix was ligated, excised, herniotomy was performed to repair the hernia, and the appendix was sent for histopathological examination.
This case underscores the importance of recognizing rare presentations of common conditions in different geographical and demographic contexts. The co-occurrence of acute appendicitis and AH in infants poses a diagnostic challenge, often only detected incidentally during surgical exploration.
By presenting this unique case, we aim to raise awareness about the potential for such rare hernias in pediatric populations. Early recognition and proper management are crucial for ensuring optimal patient outcomes and preventing complications associated with delayed diagnosis or treatment.
艾米安德疝（AH）是一种极为罕见的腹股沟疝类型，其疝囊内含有阑尾。本报告记录了苏丹首例已知的AH病例，凸显了该病例在该地区的前所未有的发生情况。
一名2个月大的婴儿因右侧腹股沟疝梗阻6小时就诊于急诊室。在手术修复过程中，在疝囊内发现了发炎的阑尾。阑尾被结扎、切除，进行疝修补术以修复疝，并将阑尾送去做组织病理学检查。
该病例强调了在不同地理和人口背景下认识常见疾病罕见表现的重要性。婴儿急性阑尾炎与AH同时出现构成了诊断挑战，通常仅在手术探查时偶然发现。
通过展示这一独特病例，我们旨在提高对儿科人群中此类罕见疝的可能性的认识。早期识别和妥善管理对于确保最佳患者预后以及预防与诊断或治疗延迟相关的并发症至关重要。
