Alshubaily Fahad, Fatani Jumana A, Alqarawi Abdullah A, Aldubayan Suliman
General Ssurgery, King Saud Medical City, Riyadh, SAU.
Surgery, Specialized Medical Center, Riyadh, SAU.
Cureus. 2025 Feb 24;17(2):e79591. doi: 10.7759/cureus.79591. eCollection 2025 Feb.
Amyand's hernia is the presence of the vermiform appendix within the inguinal hernia sac, while a sliding hernia involves the herniation of a retroperitoneal organ outside the abdominal cavity. The hernia sac can contain various intraabdominal organs, including the small bowel, cecum, appendix, omentum, or ovary and fallopian tube. A hernial sac containing the appendix on the left side is rare, and the presence of other organs in combination is also uncommon. We are presenting a case of a 45-year-old male who presented with irreducible left inguinal swelling and obstructing symptoms. Interestingly, a large left indirect hernia sac was seen intraoperatively containing incarcerated cecum, terminal ileum, appendix, and sliding sigmoid colon. Left-sided incarcerated terminal ileum, cecum, appendix, and sliding hernia can be challenging because the symptoms are often nonspecific. However, surgery is often the only way to definitively diagnose these types of hernia.
艾米安德疝是指腹股沟疝囊内存在阑尾，而滑动疝是指腹膜后器官疝出至腹腔外。疝囊可包含各种腹腔内器官，包括小肠、盲肠、阑尾、大网膜或卵巢及输卵管。左侧疝囊内含阑尾的情况罕见，合并其他器官的情况也不常见。我们报告一例45岁男性患者，其表现为左侧腹股沟肿胀且无法回纳并伴有梗阻症状。有趣的是，术中见一个巨大的左侧间接疝囊，内有嵌顿的盲肠、回肠末端、阑尾及滑动的乙状结肠。左侧嵌顿性回肠末端、盲肠、阑尾及滑动疝具有挑战性，因为症状往往不具有特异性。然而，手术通常是明确诊断这类疝的唯一方法。
