Zhang Li, Chen Zihan, Fu Yanxiang, Zhang Qi, Hu Hailong
Department of General Surgery, Yellow River Sanmenxia Hospital, Sanmenxia, China.
Front Pediatr. 2025 Jul 9;13:1637375. doi: 10.3389/fped.2025.1637375. eCollection 2025.
Amyand's hernia (AH), an extremely rare form of inguinal hernia, particularly those cases where the hernial sac contains an inflamed, edematous, or perforated appendix, is infrequently encountered. This report details the case of a 6-year-old boy who presented with an irreducible, painful mass in the right inguinal region of unknown etiology. A CT scan indicated right inguinal hernia, and a blood routine test revealed elevated white blood cell counts. The patient was diagnosed with right inguinal hernia (AH) and acute appendicitis. Emergency laparoscopic high ligation of the inguinal hernia sac and appendectomy were performed. A postoperative pathological examination confirmed acute simple appendicitis and periappendicitis. The patient recovered uneventfully and was discharged 5 days after surgery. With a 6-month follow-up, no recurrence was observed, and the patient remains under follow-up. In conclusion, AH is a rare condition, and laparoscopic high ligation of the hernial sac is the primary treatment approach. During surgery, careful identification of the hernia contents is essential. Comprehensive preoperative assessment, precise surgical techniques, and standardized intraoperative and postoperative management play a vital role in minimizing complications and reducing the risk of postoperative recurrence.
艾米安德疝（AH）是一种极为罕见的腹股沟疝类型，尤其是疝囊内包含发炎、水肿或穿孔阑尾的病例，临床上很少见。本报告详细介绍了一名6岁男孩的病例，该男孩右侧腹股沟区出现一个无法回纳的疼痛性肿块，病因不明。CT扫描显示右侧腹股沟疝，血常规检查显示白细胞计数升高。该患者被诊断为右侧腹股沟疝（AH）和急性阑尾炎。遂进行了急诊腹腔镜下腹股沟疝囊高位结扎术及阑尾切除术。术后病理检查证实为急性单纯性阑尾炎及阑尾周围炎。患者恢复顺利，术后5天出院。经过6个月的随访，未观察到复发情况，患者仍在随访中。总之，AH是一种罕见疾病，腹腔镜疝囊高位结扎术是主要的治疗方法。手术过程中，仔细识别疝内容物至关重要。全面的术前评估、精确的手术技术以及规范的术中及术后管理对于减少并发症和降低术后复发风险起着至关重要的作用。
