Miranda Burgos Laura, Thomas Alphonsa, Fluss Wayne, Sharma Aryama D
Internal Medicine, Broward Health North, Deerfield Beach, USA.
Gastroenterology, Broward Health North, Deerfield Beach, USA.
Cureus. 2025 Mar 31;17(3):e81498. doi: 10.7759/cureus.81498. eCollection 2025 Mar.
Amyand's hernia is an exceptionally rare condition in which the appendix is located within an inguinal hernia sac. While it is typically asymptomatic, the occurrence of appendicitis or perforation within these hernias presents significant diagnostic and therapeutic challenges. We report a unique case involving a 31-year-old male patient who developed perforated appendicitis within an Amyand's hernia, resulting in severe intra-abdominal infection and complex postoperative complications, including the formation of multiple abscesses at three different sites. A multidisciplinary approach, involving general surgery, infectious disease, interventional radiology (IR), and urology, was crucial for effective source control and infection management. This case underscores the importance of individualized surgical decision-making in cases of Amyand's hernia with significant inflammatory involvement, emphasizing the necessity for timely recognition and intervention to minimize complications and improve patient outcomes.
艾米安德疝是一种极为罕见的病症，即阑尾位于腹股沟疝囊内。虽然通常无症状，但这些疝内发生阑尾炎或穿孔会带来重大的诊断和治疗挑战。我们报告了一例独特病例，一名31岁男性患者在艾米安德疝内发生了穿孔性阑尾炎，导致严重的腹腔内感染和复杂的术后并发症，包括在三个不同部位形成多个脓肿。多学科方法，包括普通外科、传染病科、介入放射学（IR）和泌尿外科，对于有效的源头控制和感染管理至关重要。该病例强调了在有显著炎症累及的艾米安德疝病例中个体化手术决策的重要性，强调了及时识别和干预以尽量减少并发症并改善患者预后的必要性。
