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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 491 -494. doi: 10.3877/cma.j.issn.1674-392X.2022.04.029

病例报告

Amyand疝一例并文献复习
黄香港1, 徐易敏1, 郭晨晨1, 邵翔宇2, 程滔2, 嵇振岭2, 李俊生2,()   
  1. 1. 210009 南京,东南大学医学院
    2. 210009 南京,东南大学附属中大医院普外科
  • 收稿日期:2022-03-09 出版日期:2022-08-18
  • 通信作者: 李俊生

Amyand hernia: a case report and literature review

Xianggang Huang1, Yimin Xu1, Chenchen Guo1   

  • Received:2022-03-09 Published:2022-08-18
引用本文:

黄香港, 徐易敏, 郭晨晨, 邵翔宇, 程滔, 嵇振岭, 李俊生. Amyand疝一例并文献复习[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(04): 491-494.

Xianggang Huang, Yimin Xu, Chenchen Guo. Amyand hernia: a case report and literature review[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(04): 491-494.

Amyand疝是以Claudius Amyand医师命名的,他是世界上第一位描述治疗这种疝的医师[1]。Amyand疝的疝内容物为阑尾,和腹股沟疝类似,它好发于男性,在新生儿和老年患者中呈双峰年龄分布[2]。Amyand疝是一种十分罕见的疾病,其发病率占全部腹股沟疝的1%,合并阑尾炎的发病率则更低,仅为报道病例的0.1%[3]。由于缺少随机对照研究,因此对于Amyand疝的诊断和治疗存在许多争议[4]。本文报道了1例Amyand疝病例并进行了文献综述,目的是为正确诊断和治疗Amyand疝提供依据和参考。

图1 腹股沟区超声检查:右侧腹股沟区肠管局部增宽,回声减低,阑尾炎不除外
图2 盆腔CT:阑尾远端增粗并疝入腹股沟管
图3 腹腔镜下用锁扣夹夹闭阑尾根部
图4 腹腔镜显示阑尾已切除
图5 行开放Lichtenstein术
图6 标本病理:HE染色100×
图7 治疗疗程图
表1 Losanoff和Basson提出的Amyand疝的分型与相应的手术方式[13]
表2 Rikki提出的Amyand疝的分型[14]
[1]
Amyand C. Of an inguinal rupture, with a pin in the appendix caeci, incrusted with stone; and some observations on wounds in the guts[J]. Philos Trans R Soc Lond, 1736, 39: 329-336.
[2]
Cankorkmaz L, Ozer H, Guney C, et al. Amyand’s hernia in the children: a single center experience[J]. Surgery, 2010, 147(1): 140-143.
[3]
Michalinos A, Moris D, Vernadakis S. Amyand's hernia: a review[J]. Am J Surg, 2014, 207(6): 989-995.
[4]
Millay DS, Ofoma CM, Brounts LR. Appendectomy or not in middle-aged male with non-inflamed appendix in Amyand's hernia? Case report and literature review[J]. Int J Surg Case Rep, 2020, 77: 422-425.
[5]
Tsang WK, Lee KL, Tam KF, et al. Acute appendicitis complicating Amyand's hernia: imaging features and literature review[J]. Hong Kong Med J, 2014, 20(3): 255-257.
[6]
Patoulias D, Kalogirou M, Patoulias I. Amyand’s Hernia: an Up-to-date review of the literature[J]. Acta Medica(Hradec Kralove), 2017, 60(3): 131-134.
[7]
Aguirre DA, Santosa AC, Casola G, et al. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT[J]. Radio Graphics, 2005, 25(6): 1501-1520.
[8]
徐朝辉,曲慧,任延英, 等. 成人Amyand疝患者临床特征的系统评价[J]. 中国普通外科杂志, 2021, 30(10): 1184-1196.
[9]
Lombardo V, Pavone G. Intraoperative finding of Amyand's hernia in a recurrent inguinal hernia[J]. Ann Ital Chir, 2013, 84(5): 583-584
[10]
Kueper MA, Kirschniak A, Ladurner R, et al. Incarcerated recurrent inguinal hernia with covered and perforated appendicitis and periappendicular abscess: case report and review of the literature[J]. Hernia, 2007, 11(2): 189-191.
[11]
Kakodkar P, Neo WX, Khan MHT, Baig MN, Khan T. An Incidental Discovery of Amyand's Hernia: A Case Study and Literature Review on Its Intraoperative Management[J]. Cureus, 2020, 12(12): e11858.
[12]
Samsami M, Sayadi S, Qaderi S, et al. A case report of appendicitis within an Amyand's hernia: a surprising finding in diagnostic laparoscopy[J]. Int J Surg Case Rep, 2020, 77: 507-509.
[13]
Losanoff JE, Basson MD. Amyand hernia: a classification to improve management[J]. Hernia, 2008, 12(3): 325-326.
[14]
Singal R, Mittal A, Gupta A, et al. An incarcerated appendix: report of three cases and a review of the literature[J]. Hernia, 2012, 16(1): 91-97.
[15]
Elgazar A, Awad AK, Mandal D, et al. Sliding Amyand's hernia: a case report and review of literature[J]. J Surg Case Rep, 2021, 2021(7): rjab288.
[16]
Sharma H, Gupta A, Shekhawat NS, et al. Amyand’s hernia: a report of 18 consecutive patients over a 15-year period[J]. Hernia, 2007, 11(1): 31-35.
[17]
Papaconstantinou D, Garoufalia Z, Kykalos S, et al. Implications of the presence of the vermiform appendix inside an inguinal hernia(Amyand’hernia): a systematic review of the literature[J]. Hernia, 2020, 24(5): 951-959.
[18]
Chatzimavroudis G, Papaziogas B, Koutelidakis I, et al. The role of prosthetic repair in the treatment of an incarcerated recurrent inguinal hernia with acute appendicitis(inflamed Amyand’s hernia)[J]. Hernia, 2009, 13(3): 335-336.
[19]
Singhal S, Singhal A, Negi SS, et al. Amyand’s Hernia: rare presentation of a common ailment[J]. Case Rep Gastroinst Med, 2015, 2015: 629127.
[20]
Shaban Y, Elkbuli A, McKenney M, et al. Amyand's hernia: A case report and review of the literature[J]. Int J Surg Case Rep, 2018, 47: 92-96.
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