Pilehroud Roya Golmoradi, Ziyabakhsh Alireza, Amini Keyvan, Panahizadeh Reza, Vatankhah Mohammadamin, Haris Hamed Mohammadi
Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Students Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
J Med Case Rep. 2025 Jul 8;19(1):324. doi: 10.1186/s13256-025-05394-w.
Amyand hernias are inguinal hernias that involve the vermiform appendix and are very rare. Left-sided Amyand hernias are even rarer, and their diagnosis is often made intraoperatively.
In this article, we report a case of left-sided Amyand hernia in a 4-month-old Persian male infant. He presented with left groin swelling, which extended to his left scrotum. He had suffered from a reducible left-sided inguinal hernia since he was 3 months old, which was no longer reducible in this episode. The diagnosis of left-sided Amyand hernia was made intraoperatively, and appendectomy, cecum reduction, and herniorrhaphy were performed.
The best approach for treating Amyand hernias without appendicitis is controversial, and each approach has advantages and disadvantages; however, if there is acute appendicitis, appendectomy is recommended.
艾米安德疝是指包含阑尾的腹股沟疝，非常罕见。左侧艾米安德疝更为罕见，其诊断通常在术中做出。
在本文中，我们报告了一例4个月大的波斯男婴左侧艾米安德疝的病例。他表现为左侧腹股沟肿胀，并延伸至左侧阴囊。自3个月大起，他就患有可复性左侧腹股沟疝，在此期间该疝不再可复。术中诊断为左侧艾米安德疝，并进行了阑尾切除术、盲肠复位术和疝修补术。
对于无阑尾炎的艾米安德疝，最佳治疗方法存在争议，每种方法都有优缺点；然而，如果存在急性阑尾炎，建议进行阑尾切除术。
