Aowad Hesham, Sheridan Brian, Salerno Gisella
Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, GBR.
Surgery, American University of the Caribbean School of Medicine, Cupecoy, SXM.
Cureus. 2025 Aug 22;17(8):e90710. doi: 10.7759/cureus.90710. eCollection 2025 Aug.
The presence of the appendix within a hernia sac is known as Amyand's hernia. Amyand's hernia is frequently diagnosed intraoperatively, as preoperative diagnosis is exceedingly difficult. Concomitant acute appendicitis is a rare complication of Amyand's hernia. We present a case of an 18-year-old male who was admitted to the emergency department with acute appendicitis. A laparoscopic appendicectomy was performed, during which it was noted that a portion of the appendix had herniated through the internal inguinal ring. The appendix was removed from the inguinal ring. An abscess cavity was washed and shown to have no further contents. An appendicectomy was completed without repairing the inguinal hernia. This case represents a rare instance of an Amyand's hernia in which acute appendicitis was the preoperative diagnosis.
疝囊内存在阑尾被称为阿米亚德疝。阿米亚德疝常于术中被诊断，因为术前诊断极其困难。并发急性阑尾炎是阿米亚德疝的一种罕见并发症。我们报告一例18岁男性因急性阑尾炎入住急诊科。行腹腔镜阑尾切除术，术中发现部分阑尾经腹股沟内环突出。阑尾从腹股沟环处取出。冲洗脓肿腔，发现无其他内容物。未修补腹股沟疝即完成阑尾切除术。该病例是术前诊断为急性阑尾炎的阿米亚德疝的罕见实例。
