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首页> 外文期刊>North American Journal of Medical Sciences >An elective detection of an Amyand's hernia with an adhesive caecum to the sac: Report of a rare case
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An elective detection of an Amyand's hernia with an adhesive caecum to the sac: Report of a rare case

机译：选择性盲肠囊盲肠选择性检查疝气：一例罕见病例

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Context:Existence of non-inflamed or inflamed vermiform appendix in an inguinal hernia is named Amyand's hernia in honor to the surgeon Claudius Amyand who successfully performed first perforated appendicitis.Case Report:A 69-year-old Turkish male patient with a slight right groin pain and swelling was presented to our clinic, and found to have a slightly tender and reducible right inguinal hernia. He underwent surgery under general anesthesia, and a adhesive caecum and an inflamed appendix were explored within the hernia sac. Adhesions were divided by sharp dissection and appendectomy was performed. After carrying out a Lichtenstein hernioplasty, a broad-spectrum antibiotic was postoperatively admitted for 3 days. He recovered uneventfully, and neither complication nor recurrence was detected during 52 months of follow-up.Conclusions:Although occurrence of an appendicitis in an inguinal hernia is rare, a surgeon should be vigilant for facing with it even in elective cases. Treatment can be provided only surgically, but surgical treatment is not standard except from appendectomy. In our opinion, application of mesh hernia repair should depend on the degree of inflammation of appendix and the presence of incarceration of hernia sac with a suitable antibiotic admission for 3-5 days postoperatively.
机译：背景：腹股沟疝中未发炎或发炎的ver状阑尾的存在被称为Amyand疝，以纪念成功完成首次穿孔阑尾炎的外科医生Claudius Amyand。病例报告：一名69岁的土耳其男性患者，右腹股沟轻微疼痛和肿胀出现在我们的诊所，被发现右腹股沟疝轻度可减轻。他在全身麻醉下接受了手术，并在疝囊内探查了粘膜盲肠和发炎的阑尾。通过锋利的解剖将粘膜分开，并进行阑尾切除术。进行了Lichtenstein疝成形术后，术后接受了广谱抗生素治疗3天。结论：尽管腹股沟疝很少发生阑尾炎，但即使在选择性情况下，外科医生也应保持警惕。只能通过外科手术提供治疗，但是除阑尾切除术外，外科手术治疗不是标准方法。我们认为，网状疝修补术的应用应取决于阑尾的炎症程度以及在术后3-5天接受适当抗生素治疗的疝囊嵌顿。

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